98例颈淋巴结转移肿瘤热放综合治疗的近远期疗效  

The Short-term and Long-term Effect of Hyperthermia Combined with Radiotherapy on the Neck Lymphatic Node Metastatic Tumor

作　　者：谭维溢[1] 张玉淑[1] 黎启祥[1] 马素兰[1] 

机构地区：[1]北京友谊医院物理医学康复科

出　　处：《中华理疗杂志》1995年第2期95-98,共4页Chinese Journal of Physical Therapy

摘　　要：微波与放射线综合治疗颈淋巴结转移肿瘤９８例（其中Ⅲ、Ⅳ期９７例），近期完全消退（ＣＲ）率６８．３７％，大部消退（ＰＲ）率２２．４５％，无效（ＮＲ）率９．１８％，１、３、５年存活率分别为３８．７８％、１５．７９％、１２．０１％。１９例双侧自身对照表明，热放疗的疗效优于单放疗。各期淋巴结转移肿块的ＣＲ率与远期疗效率差异均无显著性。所有长期存活者均系ＣＲ，无颈淋巴结未控与复发，ＰＲ与ＮＲ者无长期存活。放疗总剂量以５０～８０Ｇｙ的疗效最佳。cases with metastatic tumor in neck lymphatic nodes were treated with microwave hyperthermia combined with radiotherapy. The classification of 98 cases was Ⅱ stage 1 case,Ⅲ stage 24 and Ⅳ stage 73. The short-term complete regression (CR) rate was 68.37%, partial regression (PR) rate 22.45%, no regression(NR)rate 9.18K. The survival rate of 1, 3, 5 year was 38. 78K, 15. 79N and 12. 01% respectively.There was no significant difference between the CR rate and long-term survival rate of metastatic tumors of all stages. There was no uncontrol and recurrence in the lymphatic nodes of CR cases. All the long-term survivals were CR cases. They all were not in the PR or NR cases. The total radiation doses of 60 Co 40-50GY followed by X-ray 1000-3000r have caused the best effect.

关 键 词：淋巴结肿瘤 颈部 微波疗法 热疗 放射疗法 

分 类 号：R739.910.5[医药卫生—肿瘤] R733.405[医药卫生—临床医学]