晚期直肠癌姑息性放疗  

PALLIATIVE RADIOTHERAPY FOR ADVANCED RECTAL CARCINOMA

作　　者：刘瑛[1] 朱龙祥[1] 吴根娣[1] 张志义 刘泰福[1] 

机构地区：[1]上海医科大学肿瘤医院

出　　处：《中华放射肿瘤学杂志》1991年第4期37-38,共2页Chinese Journal of Radiation Oncology

摘　　要：直肠癌的发病率逐渐上升,就诊病例以Ⅲ置、Ⅳ期占多数,目前直肠癌的五年生存率在45％左右。手术失败,局部复发,远处转移仍达50％。因此,晚期直肠癌的姑息性治疗,仍为临床上常遇到的实际问题之一。 材料与方法 我院1989年5月至1989年12月,共收治63例晚期直肠癌,全组男性43例,女性20例。年龄20～72岁,中位值47岁。木组资料随访率为100％。From February 1989 to December 1989, 63 patients with advanced rectal carcinoma (recurrent or inoperable) were treated with radiotherapy. All patients had either pain (100%) or bleeding (33%) which had not been relieved by chemotherapy or other medications. The results showed that alleviation of pain and bleeding were observed in all patients and response to radiation was related to the dose delivered. After 45 Gy, pain was relieved in 99% of patients (62/63) and bleeding stopped in 100% which lasted for more than 6 months in 77.19% (45/57) and 93% (15/19) of patients, respectively.Isocentric radiation therapy with the cone-down technique is recommended^

关 键 词：晚期直肠癌 姑息性放疗 五年生存率 就诊病例 姑息性治疗 晚期病例 剂量计算 下缘 同中心 中位值 

分 类 号：R73[医药卫生—肿瘤]