高龄食管癌患者的适形放疗

Conformal Radiotherapy for Esophageal Carcinoma in High-aged Patients

目的应用适形放疗技术治疗高龄患者的食管癌,评价疗效和并发症。方法 37例未手术的高龄患者食管癌给予适形放射治疗。放疗剂量:1.8～2Gy/(次d),5次/周,共计60～66Gy/30～37次;3～9个适形照射野。结果治疗后1～6个月复查食管X线片和CT,近期有效率97.3%(36/37);1年、2年、3年、4年和5年生存率分别为79.38%、66.76%、49.73%、33.51%和24.41%。结论高龄患者食管癌的适形放射治疗,疗效较好,并发症少,是不能手术患者一种较好的治疗方式。

Objective To evaluate the treatment efficacy and compalications of Conformal radiotherapy for esophageal carcinoma in high-aged patients, Methods 37 cases of high-aged patients of esophageal carcinoma without surgery were given conformal radiotherapy. The radiation dose was 1.8-2Gy/ Fraction/day, 5 days / week, and total dose to the tumor added up to 60-66Gy/30-37 fractions, with 3-9 coplanar stationary beams. Results The check of the patients＇ X-ray film and CT images at 1-6 month after the treatment showed that the recent local control rate was 97.3%（36/37）. One, two, there, four and five year survival rates were 79.38%, 66.76%, 49.73%, 33.51% and 24.41%, respectively. Conelusion conforrnal radiotherapy showed better efficacy and lower complications in treating esophageal carcinoma, and is a good option for high-aged patients without surgery.