【摘要】 目的 :研究放射治疗配合化疗对中晚期食管癌的临床疗效。方法 :12 4例中晚期食管癌 ,根据不同的治疗方法分为两组 :单纯根治性放射治疗组 (以下称单放组 )和根治性放射治疗配合化疗组 (以下称综合组 )。单放组共 6 0例 ,采用常规设野放疗 ,照射剂量为 6 5～ 70Gy。综合组共 6 4例 ,放疗方法同单放组 ,化疗采用DFP方案(DDP 2 0mg/次静脉点滴 ,第 1～ 5天 ;5～FU 75 0mg/次静脉点滴 ,第 1～ 5天 ;平阳霉素 16mg肌注 ,第 1、3、6天给药 ,2 1天为 1周期 )或DF方案 (DDP 30mg/次静脉点滴 ,第 1～ 5天 ;5 FU 10 0 0mg/次静脉点滴 ,持续 8小时以上 ,第 1～ 5天 ,2 8天为 1周期 )。两个组均随访 5年 ,失访 9例 ,随访率 92 .7%。结果 :原发灶的近期疗效综合组好于单放组 ,两组间差异有显著性 (P <0 .0 5 ) ;锁骨上淋巴结转移灶的近期疗效两组间差异无显著性 (P >0 .0 5 ) ;综合组与单放组一、三、五年生存率分别为 6 4.7%、41.2 %、18.9%和 43.1%、2 1.5 %、9.2 %,综合组一、三年生存率明显高于单放组 (P <0 .0 5 ) ,且无严重毒副反应。远处转移率综合组明显低于单放组 (P <0 .0 5 )。结论 :放射治疗配合化疗优于单纯放射治疗 ,可明显提高中晚期食管癌的疗效 ,值得临床进一步研究。更多还原

【Abstract】 Purpose:To study the effect of radiotherapy combined with chemotherapy on advanced esophageal cancer. Methods:124 cases of advanced esophageal cancer were treated from March 1990 to April 1995. Patients were divided into 2 groups, including simple irradiation group receiving conventional radiotherapy to a total of 65～70 Gy; combined group which received the same radiotherapy as simple irradiation group plus chemotherapy with DFP or DF regimen. Both groups were followed for 5 years. Results:The short term results of radiotherapy combined with chemotherapy was better than that of radiotherapy alone. The difference between these two groups was statistically significant (P<0.05). The one,three and five-year survival rate were 64.1%(41/64), 40.6%(26/64), 18.8%(12/64) in combined group and 43.3%(26/60), 21.7%(13/60), 8.3%(5/60) in simple irradiation group. The survival rates in the combined group were thus much better than those in simple irradiation group(P<0.05). There was significant difference in distant metastasis between the two groups, 6.3%(4/64) in combined group and 20%(12/60) in simple irradiation group,thus in the combined group it was much lower than simple irradiation group (P<0.05). Conclusions:Radiotherapy combined with chemotherapy for advanced esophageal is effective and merits further study in the clinic.更多还原