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我院自1989年2月—1994年4月收治了36例恶性肉芽肿进行放射治疗,其1年、2年、3年及5年存率分别为85%、71%、63%及50%,就诊时伴有发热者、其5年生存率为30%,无发热者5年生存率为75%,两者有显著差异;就诊时病变侵犯1个解剖部位者与侵犯2个以上者5年生存率分别为60%及38%,两者差异显著。作者认为影响恶性肉芽肿的预后因素除与放射剂量、病程长短有关外,与发热及病变侵犯范围有直接关系。
In our hospital from February 1989 to April 1994, 36 cases of malignant granulomas were treated with radiotherapy. The 1-year, 2-year, 3-year and 5-year rates were 85%, 71%, 63% and 50% respectively. The 5-year survival rate was 30% for those who had fever during the visit, and the 5-year survival rate was 75% for those who did not have fever. There was a significant difference between the two; the lesion invaded 1 anatomical site and infringed 2 or more persons during the visit. 5 The annual survival rates were 60% and 38%, respectively, with significant differences. The authors believe that the prognostic factors affecting malignant granuloma are not only related to the radiation dose and duration of the disease, but also directly related to the extent of fever and lesion invasion.