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本院自1989年10月至1993年12月底采用随机分组的方法对90例中晚期食管癌症进行分组:卡铂增敏放疗45例,单纯放疗45例.两组病期、病理、全身情况基本相同.放射治疗均用10MVX线等中心放疗,治疗总剂量为65Gy~70Gy/6~7周,化疗方案;卡铂0.4(第1天),5-氟脲嘧啶(第2天至第6天),休息2~3周重复一次,休息3~4天即放疗,当总量达40Gy时摄片比较,再次化疗后将放疗剂量加至65Gy~70Gy。摄片比较结果:卡铂增敏组CR23例占51%(23/45),单放组CR12例,占27%(12/45).两组经统计学处理,p<0.05,呈显著性差异。1年生存率卡铂增敏组56%(25/45).单放组31%(14/45).p<0.05。3年存活率卡铂增敏组42%(15/36),单放组19%(7/36),经统计学处理p<0.05;呈显著性差异。因此,卡铂增敏放疗对近期疗效较单纯放疗好,值得进一步研究。
In this hospital from October 1989 to the end of December 1993, 90 patients with moderate-advanced esophageal cancer were randomly divided into groups: 45 cases with carboplatin sensitization radiotherapy and 45 cases with radiotherapy alone. The two groups were basically the same in terms of pathology, pathology, and general condition. Radiotherapy uses 10 MV X-rays and other center radiotherapy with a total dose of 65 Gy to 70 Gy/6 to 7 weeks for chemotherapy; carboplatin 0.4 (day 1) and 5-fluorouracil (day 2 to day 6). Take a rest for 2 to 3 weeks, and take a rest for 3 to 4 days. When the total dose reaches 40 Gy, compare the radiographs. After chemotherapy, add the radiotherapy dose to 65 Gy to 70 Gy. Photographic comparison results: Carboplatin sensitized group accounted for 51% of CR (23/45), and single-release group CR12 cases, accounting for 27% (12/45). The two groups were statistically processed, p<0.05, showing a significant difference. 1-year survival rate of carboplatin sensitization group was 56% (25/45). Single play group 31% (14/45). p<0.05 The 3-year survival rate was 42% (15/36) in the carboplatin sensitization group, and 19% (7/36) in the radiotherapy group. Statistical analysis showed a difference of p<0.05. Therefore, carboplatin sensitization radiotherapy is more effective than simple radiotherapy in the near future and deserves further study.