放射与安瘤乳综合治疗食管癌——180例随机分组研究

COMBINATION OF RADIOTHERAPY AND 5-FU EMULSION IN THE TREATMENT OF ESOPHAGEAL CARCINOMA——A randomized clinical trial on 180 patients

食管癌治疗方法的效果均有待提高。因多数患者确诊时病期已晚,为提高疗效,很多学者主张采用综合治疗措施。我院自1986年11月至1990年3月对180例食管癌进行安瘤乳与放疗(放化组)和单纯放疗组(对照组)随机分组的对比研究,每组各90例。现总结如下:

From 1988 to 1990, 180 esophageal carcinoma patients were randomized into two arms. 90 patients treated by radiotherapy plus 5-Fu emulsion (combination group) as one arm, and 90 by radiation therapy only (control group) as the otherm The method of radiotherapy in these two groups was the same, 10 Gy in 5 fractions/week to a total of 60 - 70 Gy. The 5-Fu emulsion was taken 1 ampoule Tid by mouth to more than 4 weeks . Each ampoule contained 50 mg 5-Fu, Tbe immediate response rates of marked response, partial response and no respose of the combination group were 84.4% (76/90), 15.6% (14/90) and 0. Those of the control group were 46.7% (42/90), 50%(45/90) and 3.3% (3/90). The 1- and 3-year survival rates of the combination groups were 62.2% (56/90), 24.4% (11/45) and those of the control groups were 61.1% (55/90) and 19.3% (11/57). The authors believe that the dose of 5-Fu emulsion should be increased and its administration prolonged >