64例早期食管癌放射治疗疗效探讨

Explore The Curative Effect of Radiotherapy For Early Stage Esophageal Carcinoma

摘要: 分析64例早期食管癌放射治疗的结果, 5、10、15年生存率分别为71.9%(6/64)、46.9%(30/64)、31.3%(20/64)。局部复发和远处转移是患者死亡的主要原因。设野应循常规, 前胸野6cm×15cm, 背部两斜野5cm×15cm, 放射剂量以50～60Gy/5～6周为宜。从疗效和生存质量角度分析, 放射治疗不失为早期食管癌较佳的治疗手段。

Abstract: Effect analysis of radiotherapy in 64 case of early stage esophageal carcinoma.The survival rate of 5, 10 and 15 years were respectively: 71.9%(46/64), 46.9%(30/64) and 31.3%(20/64). Local recurrence and distance metastasis were the majorcause of death. Rountine fraction radiotherapy with three fields was a better way forearly stage esophageal carcinome. Optimal radiation dose was 50-60Gy/5-6w.Analisising effect and long-term survival quality of those patients, we believe that radiotherapy is one of the effective ways of treating early stage esophageal carcinorna.