摘要
对鼻咽癌常规外照射疗效进行分析，探讨方法的改进，以期提高疗效。方法：１８６例经病理证实鼻咽癌病人，接受常规６０Ｃｏ根治性分段外照射，鼻咽和颈部ＤＴ６０～７２Ｇｙ／９～１１周，中间休息３～４周。分析其５年生存率及死亡原因。结果：按照ＴＮＭ（长沙，１９７９）分期５年生存率分别为：Ⅰ期１００％（１／１）；Ⅱ期５３３％（２７／４５）；Ⅲ期４６４％（４５／９７）；Ⅳ期２０％（９／４３）；总的５年生存率为４４１％（８２／１８６）。结论：对Ⅰ～Ⅱ期病人以设法提高局部控制率为主；对Ⅲ～Ⅳ期病人在提高局部控制率同时，必须综合全身化疗。
Objective:To analyze the effect of conventional radiotherapy for patients with nasopharyngeal carcinoma,and to give suggestions about how to improve the prognosis of the nasopharyngeal carcinoma. Methods:186 patients with pathologically confirmed nasopharyngeal carcinoma underwent a conventional 60 CoA external radiation.The nasopharynx and cervix received a dose 60～70 Gy/9～11weeks, and had a interval of 3～4 weeks after 40 Gy.The 5 years survival rate and cause of death were analyzed. Results: According to TNM classification (Changsha 1979),the 5 years survival rate in Ⅰ,Ⅱ,Ⅲand Ⅳstage was 100%(1/1),53 3%(27/45),46 4%(45/97) and 20 9%(9/43), respectively. The overall 5 years survival rate was 44 1%(82/186). Conclusion: The main task is to prevent the local recurrence for Ⅰ～Ⅱ stage of nasopharyngeal carcinoma , and a combined chemotherapy should be added in order to prevent the distant metastases for Ⅲ～Ⅳ stage.
出处
《暨南大学学报（自然科学与医学版）》
CAS
CSCD
1998年第6期73-73,共1页
Journal of Jinan University(Natural Science & Medicine Edition)
关键词
鼻咽癌
放射治疗
疗效分析
nasopharyngeal carcinoma
radiotherapy
analysis
