摘要
目的:分析影响食管癌单纯放疗一年生存的因素,为个体化治疗方案制定和准确评估预后提供参考标准。方法:回顾分析71例食管癌单纯放疗患者的临床资料,分析其一年生存率及影响因素。结果:所有患者在放疗结束后均随访一年以上。影响因素有X线所显示病变之长度、放疗剂量、CT所示肿瘤最大直径、食管病变部位、血红蛋白水平以及是否合并淋巴结转移。而性别、年龄与预后无关。结论:食管癌X线所示病变越长,近期疗效越差;照射剂量≥50Gy者疗效优于<50Gy,>70Gy并不能提高疗效;CT最大直径越大预后越差;胸上中段疗效好于胸下段癌;血红蛋白正常者疗效优于血红蛋白低者;无淋巴结转移患者预后优于合并淋巴结转移患者。
Objective：To analyze the prognostic factors of esophageal carcinoma treated by radiotherapy alone.Methods：To retrospectively analyze the clinical data of 71 patients with esophageal carcinoma treated by radiotherapy alone,one-year survival rate and influencing factors.Results：A total of 71 patients were included.All patients were followed up after radiotherapy for more than one year.Significant prognostic factors included the lesion length in X-ray,dose of radiotherapy,largest diameter of lesion in CT image,tumor site,content of hemoglobin,metastatic lymph.Conclusion：Radiotherapy is effective and feasible in the treatment of esophageal cancer.The main factor to affect the prognosis is the volume of tumor.
出处
《现代肿瘤医学》
CAS
2011年第4期704-706,共3页
Journal of Modern Oncology
关键词
食管癌
放射疗法
近期疗效
esophageal neoplasms
radiotherapy
effect
