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目的 探讨晚期食管癌外照射加化疗的疗效。方法 老年晚期食管癌30例,采用~(60)Co外照射,每周5次,每次2Gy,肿瘤量在45Gy以内,放疗第1天同时用卡铂400mg静点,于第4、8周重复用药1次,全程用药3次,总量达1200mg。结果 30例病人肿瘤完全消失9例(29.7％);大部分消失16例(52.8％);总有效率为82.5％(25/30)。结论 采用放疗加化疗治疗晚期食管痛优于单纯放疗,可达到减轻症状,延长病人的生存期。
Objective To investigate the efficacy of external irradiation plus chemotherapy for advanced esophageal cancer. Methods 30 esophageal advanced esophageal cancer patients were exposed to 60Co exposure for 5 times per week for 2Gy per week. The tumor volume was less than 45Gy. On the first day of radiotherapy, 400mg carboplatin was also used in the 4th and 8th weeks. The drug was repeated 1 time, and the drug was administered 3 times throughout. The total amount was 1200 mg. Results The tumor disappeared completely in 9 patients (29.7%) in 30 patients, and disappeared in 16 patients (52.8%). The total effective rate was 82.5% (25/30). Conclusion The use of radiotherapy combined with chemotherapy to treat advanced esophageal pain is better than radiotherapy alone, which can relieve symptoms and prolong the survival of patients.