184例软组织肉瘤患者不同治疗方法分析  

The analysis of different treatment methods for 184 cases of soft tissue sarcoma

作　　者：罗英[1] 陈章定[1] 胡炳强[1] 

机构地区：[1]湖南省肿瘤医院放疗科,长沙410006

出　　处：《中华肿瘤杂志》2004年第8期502-504,共3页Chinese Journal of Oncology

摘　　要：目的　探讨软组织肉瘤适当的治疗方法。方法　总结 184例软组织肉瘤患者的临床资料 ,分析单纯手术 (94例 )、手术后加辅助放疗 (6 2例 )、手术后加辅助化疗 (2 8例 )的长期生存率和影响预后的因素。结果　单纯手术、手术后加辅助放疗和手术后加辅助化疗患者的 5年生存率分别为 39.4 %、4 8.4 %和 2 8.6 %。综合治疗是提高患者生存率与改善生活质量的关键。临床分期、病理类型及治疗方法是影响长期生存的重要因素。结论　软组织肉瘤术后辅助放疗可以提高患者Objective To study the proper way of using combined postoperative chemo-radiotherapy and prognostic factors of soft tissue sarcoma. Methods The clinical data of 184 patients were retrospectively reviewed. These patients were devided into surgery group (S, 94 patients), surgery plus postoperative radiotherapy group(S+R, 62 patients)and surgery plus chemotherapy group (S+C, 28 patients). Results The 5-year survival rates of S, S+R and S+C groups were 39.4%, 48.4% and 28.6%, respectively. Combined multitherapy was the key to improve survival rate and life quality. Clinical stage, pathological type and therapeutic method were also important prognostic factors for the long term survival. Conclusion Surgery plus postoperative radiotherapy can improve the 5-year survival rate of soft tissue sarcoma.

关 键 词：软组织肉瘤 治疗方法 药物疗法 肿瘤 手术治疗 

分 类 号：R738.6[医药卫生—肿瘤]