摘要
目的 对食管癌全量放疗后复发或未控制患者进行再手术治疗是否具有可行性的探讨.方法 采取回顾性分析自1990-12～2005-12间在我院进行食管癌全量放疗后出现复发或未控制现象,接受再手术治疗的109例患者的临床资料.结果 接受手术治疗的患者手术切除率占87.2％,出现并发症的占34.9％,出现死亡的占3.7％.与其他非手术疗法相比较,切除组的患者于术后1年、3年、5年后的生存状况有着明显优势.结论 食管癌患者全量放疗出现复发或未控制现象的,采取再手术治疗是可行的,但应具结合患者自身情况适当选用.
Objective To investigate the feasibility of re - surgical treatment in recurrent or uncontrolled esophageal cancer following full amount radiotherapy. Methods The clinical data of 109 esophageal cancer patients were retrospectively analyzed from December, 1990 to December, 2005, and all the recurrent or uncontrolled patients after full amount radiotherapy were given re - surgical treatment. Results The resection rate was 87.1%, complications rate was 34.8%, and mortality rate was 3.6%. Additionally, 1,3, 5 - year survival rates after resection were 57.8%, 30.5% and 13.6%, respectively, which were significantly better than other non -surgical therapy. Conclusion Re - surgical treatment for recurrent or uncontrolled esophageal cancer following full amount radiotherapy has good efficacy, but the surgical indications should be strictly controlled.
出处
《黑龙江医学》
2014年第5期517-519,共3页
Heilongjiang Medical Journal
关键词
食管癌
全量放疗
复发
再手术治疗
Esophageal cancer
Whole amount of radiation therapy
Recurrence
Reoperation
作者简介
李进科，副主任医师；研究方向：食管治疗。
