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食管癌(esophageal carcinoma)为消化系统常见的恶性肿瘤。晚期局部食管癌手术治疗预后极差,易复发,以手术为基础的综合疗法在降低复发率方面有一定的效果。放射治疗是食管癌重要的辅助治疗手段,其治疗从传统的二维放疗到目前的容积弧形调强放疗、图像引导放疗、调强适形放疗、三维适形放疗等,精准度不断提高。目前关于食管癌的临床治疗有了新认识,尤其在术前与术后放射治疗及放化疗相结合方面进步明显,疗效显著。本文对食管癌放射治疗方式方法、技术方面的研究进展进行综述。“,”Esophagealn cancern isn an commonn malignantn tumorn ofn then digestiven system. Surgicaln treatmentn forn locallyn advancedn esophagealn cancern hasn poorn prognosisn andn leadsn ton an high incidencen ofn recurrence.n Then comprehensiven therapyn basedn onn surgeryn hasn an certainn effectn on reducingn then recurrencen rate.n Radiotherapyn isn ann importantn adjunctiven treatmentn forn esophageal cancer.n Itsn treatmentsn changen fromn traditionaln two-dimensionaln radiotherapyn ton then current volumetric-modulatedn arcn therapy,image-guidedn radiotherapy,n intensity-modulatedn radiotherapy, andn three-dimensionaln conformaln radiotherapy,n withn an constantn increasen inn accuracy.n Atn present, theren isn an newn understandingn aboutn then clinicaln treatmentn ofn esophagealn cancer,n especiallyn inn the combinationn ofn preoperativen andn postoperativen radiotherapyn andn chemoradiotherapy.n