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为评价外放疗并同期化疗后高剂量率后装追加放疗不能手术的晚期食管癌的疗效。作者用此方案在131例同期病人中,前瞻性非随机治疗了53例。其中,鳞癌47例、腺癌6例;男48例,女5例;年龄26～74岁。疗前均行食管吞钡X线片、胸X线片、肝B超、食管镜活检、支气管纤维镜检查和胸、上腹CT扫描及食管内镜B超检查。Ⅱ_b、Ⅲ期(AJC,1987)分别有15和38例。其中,颈段及上、中、下胸段分别有4、17、14、18例。病灶<5cm、5～10cm和>10cm者分别有7、42和4例。0、1、2级体力状态分别有33、15、5例。治疗方案为:外放疗野包病灶上下各3cm、侧缘外2cm,每次2Gy,每周5次。先
To evaluate the efficacy of external radiation therapy and high-dose-rate post-chemotherapy, post-addition radiotherapy-advanced advanced esophageal cancer. The authors used this protocol to prospective non-randomized treatment of 53 patients in 131 concurrent patients. Among them, there were 47 cases of squamous cell carcinoma and 6 cases of adenocarcinoma; 48 cases were male and 5 cases were female; the age ranged from 26 to 74 years old. Before treatment, esophagus swallow X-ray film, chest X-ray film, liver B-ultrasound, esophagoscopic biopsy, bronchial fiberoscopy and chest, upper abdomen CT scan and esophageal endoscopy B-ultrasound. There were 15 and 38 cases of II_b and III (AJC, 1987). Among them, there were 4, 17, 14 and 18 cervical and upper, middle and lower thoracic segments, respectively. There were 7, 42 and 4 cases of lesions <5cm, 5~10cm and >10cm, respectively. There were 33, 15 and 5 cases of physical status at 0, 1 and 2 levels respectively. The treatment plan was: 3 cm from the top and bottom of the wild package lesions, 2 cm from the lateral edge, 2 Gy each time, and 5 times per week. first