浸润型膀胱癌的放射治疗(附80例报告)

Radiotherapy for invasive bladder carcinoma (Report of 80cases)

对浸润型膀胱癌80例分别采用术前放疗、术后放疗和单纯放疗。术前放疗7例,5年生存率为100%;术后放疗56例,3年和5年存活率分别为33.9%和21.4%;单纯放疗17例,5年存活率为5.9%。总的3年和5年存活率分别为33.8%和25.0%。术前放疗组优于其他组。结合文献复习,重点讨论了放射治疗的适应证、放疗的几种方式,并阐述了放射治疗的并发症。

Radiotherapy was used in treatment of invasive bladder cancer for 80 cases between 1958 and 1986. Preoperative irradiations group were 7 cases, 5 year survival rate was 100%; postoperative irradiations group were 56 cases, 3 year and 5 year survival rate were 33.9 and 21.4% respectively;single irradiations were 17 cases, 5 year survival rate was 5.9%. It was believed that preoperative radiotherapy was indicated for invasive bladder carcinoma. The indications, methods and complications of radiotherapy were discussed.