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后程加速超分割放疗同步周剂量紫杉醇方案治疗食管癌的临床研究

The Study on Late Course Accelerated Fractionated Irradiation Combined with Concurrent Chemotherapy for Esophagus Squamous Cell Carcinoma

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【作者】 马胜禄崔史杰谢朝辉丁柏英刘丽华蔡君东甄晓兰蒋静李宝成

【Author】 MA Sheng-lu1,CUI Shi-jie2,XIE Zhao-hui1,DING Bai-ying1,LIU Li-hua1,CAI Jun-dong1,ZHEN Xiao-lan1,JIANG Jing1,LI Bao-cheng1(1 Chengde Cancer Hospital,Chengde 067000,China; 2 Graduate School of Hebei Medical University,Shijiazhuang 050017,China)

【机构】 河北省承德市肿瘤医院河北医科大学研究生学院

【摘要】 目的观察放射治疗配合紫杉醇化疗对食管癌的临床疗效。方法对173例食管癌患者根据不同的治疗方法分为单纯放射治疗组(单放组)和放射治疗同步化疗组(放化疗组)。单放组80例,放疗DT 65~70Gy;放化疗组93例,放疗同时化疗,紫杉醇每周60mg。两组均随访2年。结果放化疗组的近期效果好于单放组,有显着性差异(P<0.05)。单放组1、2年生存率为51.3%(41/80)、32.5%(26/80),同步放化组为87.19%(81/93)、68.8%(64/93),两组差异有显着性(P<0.05)。结论同步放化疗优于单纯放射治疗,可明显提高食管癌的疗效。

【Abstract】 Objective To study the effect of radiotherapy combined with paclitaxel on esophageal cancer.Method 173 cases of esophageal cancer were divided into conventional radiotherapy to a total of 65~70Gy;combined group with received the same radiotherapy as simple irradiation group plus chemotherapy with weekly paclitaxel.Both groups were followed for 2 years.Result The short-term results of radiotherapy combined with chemotherapy was better than that of radiotherapy alone.The survival rates in the combined group were thus much better than those in simple irradiation group(P<0.05).The one and two year survival rate in combined were 87%,68.8%.The one and two year survival rate in simple irradiation group were 51.3%,32.5%.The difference between these two groups was statistically(P<0.05).Conclusion Radiotherapy combined with chemotherapy were thus much better than those in simple irradiation group for advanced esophageal cancer.

【基金】 承德市科研指导计划项目(200621040)
  • 【文献出处】 中国医药指南 ,Guide of China Medicine , 编辑部邮箱 ,2011年08期
  • 【分类号】R735.1
  • 【下载频次】40
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