156例C期直肠癌术后放疗后死亡原因分析  

Analysis on the causes of death in 156 cases with rectal carcinoma in postoperative radiotherapy

作　　者：卞秀华[1] 许康雄[1] 

机构地区：[1]江苏省肿瘤医院放疗科,南京210009

出　　处：《中国基层医药》2000年第2期86-87,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 分析直肠癌术后放疗后死亡原因及相关因素。方法 收集直肠癌术后放疗已死亡病例156例,87例行术后放疗,69例行复发后放疗。放疗方法为^(60)Co或15MVX线前后野外照射,放疗剂量DT37.8～80Gy,DT45Gy以上采用缩小野加量,疗程29～96d。前后野剂量比为1:2或2:3。结果 术后放疗死于局部复发及血行转移分别为34.5％、65.5％,复发后放疗死于复发未控及血行转移分别为66.7％、33.3％。结论 C期直肠癌术后应常规行术后放疗及时加用化疗,复发病人及时确诊尽快放疗。Objective Analyse the cause of death and relative factors of rectal carcinoma in postoperative radiotherapy. Methods 156 patients died of rectal carcinoma 87 and 69 of them were radiated after operation and relapse, respectively. Methods of radiotherapy was anterio posterior or boxed field,using 60 Co or 15MV X ray. Their tomor dose were between 37.8-80Gy. If tomor dose was over 45Gy,technique of boost was used . Anterioposterior dose ratio were 1:2 or 1:3. Results The patients who died from rccapses and matastasis were 34.5% ,65. 5 % .respectively in the group of post operative radio therapy,and 66. 7% ,33. 3% in the group of radiotherepy after relapse . Conclusion The patients of postoperative rectal carcinoma in C stage should do radiotherapy and chemotherapy. It is necessary for the recurrent patients to make correct diagnosis and radiotherapy as soon as possible we can.

关 键 词：直肠癌 术后放疗 死亡原因 

分 类 号：R735.3[医药卫生—肿瘤]