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目的 :探讨手术 +放疗 +化疗综合治疗软组织肿瘤的疗效。方法 :本院从 1 989年— 1 998年收治 48例软组织肿瘤患者 ,全部病例均有病理学诊断 ,我们采用单纯手术、手术 +放疗、手术 +化疗、手术 +放疗 +化疗不同的方法治疗软组织肿瘤 ,并观察不同病理类型的 3年、 5年生存率 ,结果 :不同病理类型治疗效果不同 ,其中以隆突型纤维肉瘤治疗的 3年、 5年生存率最高 ,均达到 1 0 0 % ,不同病理类型的总的 3年、 5年生存率分别为 5 6 3 %及 43 8%。不同的治疗方式 3年、5年生存率也不同 ,其中单纯手术的 5年生存率为 2 0 % ,手术 +放疗 5年生存率为3 9% (6/ 1 8) ,手术 +化疗的 5年生存率为 3 7 5 % (3 / 8) ,手术 +放疗 +化疗的 5年生存率为 47% (8/ 1 7)。结论 :不同的病例类型 ,3年、 5年生存率不同 ,不同的治疗方法 3年、 5年生存率也不同。我们从中得出 :病理类型 ,肿瘤大小 ,剂量 ,治疗方式及病人经济情况直接影响治疗效果 ,扩大手术 +放疗 +化疗的综合治疗 ,对软组织肿瘤疗效较好 ,值得提倡
Objective: To investigate the effect of surgery + radiotherapy + chemotherapy on soft tissue tumors. Methods: 48 cases of soft tissue tumors were treated in our hospital from 1989 to 1998. All the cases were pathologically diagnosed. We treated the soft tissue by the methods of simple operation, operation + radiotherapy, operation + chemotherapy, operation + radiotherapy + chemotherapy Tumor and different pathological types of 3-year, 5-year survival rate, the results: different pathological types of treatment are different, of which the treatment of the three-year and five-year survival rate of fibro-sarcoma were the highest, both reached 100% The overall 3-year, 5-year survival rates for different pathological types were 56.3% and 43.8%, respectively. The 3-year and 5-year survival rates were also different for different treatment modalities. The 5-year survival rate was 20% for simple operation, 39% for 5-year operation + radiotherapy, 6% for operation + 5 The annual survival rate was 37.5% (3/8). The 5-year survival rate of surgery + radiotherapy + chemotherapy was 47% (8/17). CONCLUSION: Different types of cases have different 3-year and 5-year survival rates. Different treatments have 3 years and 5-year survival rates are different. We conclude that pathological type, tumor size, dose, treatment and patient’s economic condition have a direct impact on the therapeutic effect and extended operation + radiotherapy + chemotherapy combined therapy, which is good for soft tissue tumors and is worth promoting