腮腺癌的术后放射治疗  

Post-operative radiotherapy for parotid gland carcinoma

作　　者：范风云[1] 郭艳[1] 徐德门[1] 

机构地区：[1]西安第四军医大学西京医院放疗科

出　　处：《实用口腔医学杂志》1998年第3期179-180,共2页Journal of Practical Stomatology

摘　　要：目的：评价腮腺癌术后放射治疗的效果。方法：用６０Ｃｏ或直线加速器Ｘ线和电子束对１０６例腮腺癌术后患者进行放射治疗，并随访５年以上。结果：５年生存率７４．５％，肿瘤局部控制率８４．９％。术后放疗剂量以５１Ｇｙ～６０Ｇｙ疗效较好，５年生存率８１．５％，肿瘤局部控制率９３．４％。病理类型中，腺样囊性癌、粘液表皮样癌、腺泡细胞癌、乳头状囊性癌预后情况较好。结论：术后放疗可以显著提高腮腺癌患者的５年生存率。Objective: To evaluate the efficacy of post-operative radiotherpay for parotid gland carcinoma.Methods:Radio-therapy was undertaken in 106 post-operated patients with parotid gland carcinoma usin^(60 )Co or linear accelerator X-rays and electron beam, complete with follow up of over 5 years. Results:With the radiation dose less than 51Gy, the five-year survival and the local control rates were 74.5% and 84.9% respectively. With the radiation dose 51～60 Gy, the five-year survial and the local control rates were 81.5 and 93.4% respectively. Better prognosis was obtained in the cases with the pathological classification of adenoid cystic carcinoma, mucoid epithelial carcinoma, glandular carcinoma and cystic papilomatous carcinoma.Conclusion: Post-operative radiotherapy may increase the fiveyear survival rate. It is recommended that treatment for parotid gland carcinoma should combine surgical operation with radio therapy. Radical surgical removal of the original carcinoma is crucial for a better outcome.

关 键 词：腮腺肿瘤 外科手术 放射疗法 

分 类 号：R739.870.5[医药卫生—肿瘤]