摘要
目的 :探讨以手术为主的N1期食管癌术后的最优治疗方案。方法 :回顾我院 1990～ 1997年食管癌术后确诊为N1期病人的临床资料。结果 :ⅡB期 3、5年生存率单纯手术组为 35 %、2 5 % ;手术+放疗组为 5 1 6 %、35 3% ;手术 +化疗组为 5 0 %、2 5 % ;手术 +化疗 +放疗组为 6 5 5 %、4 1、4 %。Ⅲ期 3、5年生存率单纯手术组为 2 0 0 %、6 7% ;手术 +化疗组为 35 7%、7、1% ;手术 +放疗组为35 7%、14 3% ,手术 +化疗 +放疗组为 4 1 6 %、2 9 1%。结论 :术后辅助性化疗或放疗或化放疗能提高N1期病人 3、5年生存率 ,而最理想的治疗模式是手术后 +全身化疗 +局部放疗。
Objective To Study the correspondence strategies after operation in stage N 1 esophageal carcinoma.Methods From 1990 to 1997 in our hospital 179 Cases who proved N 1 stage after operation were retrospectively analyzed.Accordving different stage,compared different methods of therapy in the3 and 5 years overall survival rate.Results The 3 years and 5 years survial rates of the patients with ⅡB who underwent resection surgery followed by radiotherapy?Surgey followed by chemotherapy?bychemotherapy and radio therapy were 35%,25%;51 6%,35 3%;50%,25%;65 5%,41 4%;and the Ⅲ were 20%,6 7%;35 7%,7 1%;35 7%,14 3%;41 6%,29 1%?Conclusions Surgery follow by synthetic therape can increase the 3 and 5 years survival rate for stage N 1 patient with esophaseal carcinoma surgery follow by chemotherapy and radiotherapy is the best way.
出处
《肿瘤防治杂志》
2002年第2期167-169,共3页
China Journal of Cancer Prevention and Treatment
