食管癌放疗后复发再程放疗的疗效观察  

作　　者：赵全德[1] 董灵[1] 

机构地区：[1]四川阆中市人民医院,637400

出　　处：《中国社区医师（医学专业）》2012年第1期73-74,共2页

摘　　要：目的:观察食管癌放疗后复发再程放射治疗的疗效及并发症。方法:19例食管癌放疗后复发患者接受两次放疗。先通过胸部定位CT,然后经TPS计划系统制定放疗计划,三维适形放疗,避开脊髓,使两次脊髓放射总量不能超过50GY,在模拟定位机下核实后实施治疗,食管受量60GY/30F/6W。结果:经治疗19例食管癌放疗后复发患者,有效率83.3%,1、2、3年生存率分别为52.6%、42.1%、15.7%。结论:放射治疗食管癌放疗后复发患者疗效可靠,并发症少,是一种有效的治疗手段。Objective：Observation Radiotherapy of esophageal carcinoma recurrence after radiotherapy of re-effects and complications.Methods：19 cases of recurrence after radiotherapy of esophageal carcinoma patients accepting secondary radiotherapy.Positioning through chest CT and TPS planning system for radiotherapy planning,three dimensional Conformal radiotherapy,avoiding spinal cord,spinal radiation must not exceed the total for the two times 50GY,after verifying the implementation of treatment in a simulator,esophageal dose 60GY/30F/6W.Results：treatment of 19 cases of recurrence after radiotherapy of esophageal carcinoma patients,effective rate 83.3%,1,2,and 3-year survival rate is 52.6%,and 42.1%,and 15.7%.Conclusion：the recurrence after radiotherapy for esophageal carcinoma with radiotherapy in patients with clinical reliable,less complications,is an effective means of treatment.

关 键 词：食管癌 复发 再程放疗 

分 类 号：R739.63[医药卫生—肿瘤]