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目的评估术前快速放疗与手术综合治疗食管癌的价值。方法对食管癌术前放疗的作用进行了前瞻性随机分组研究：综合组４１例，单纯手术组４４例。术前放疗用６ＭＶ－Ｘ线，放疗剂量４．０ＧＹ／２０Ｆ／２ｗ，休息２～４周进行手术。结果综合组和单纯手术组的近期效果：根治切除率分别为８０．５％和５１．１％（Ｐ＜０．０５），淋巴结转移率为１９．５％和５６．８％（Ｐ＜０．０１），切缘阳性率分别为２．４％和９．１％。结论术前放疗加手术综合治疗比单纯手术改善和提高了食管瘤的治疗效果。
Objective To evaluate the value of preoperative fast radiation therapy and comprehensive surgical treatment of esophageal cancer. Methods A prospective randomized study was conducted on the effects of preoperative radiotherapy for esophageal cancer: 41 patients in the comprehensive group and 44 patients in the simple surgery group. Preoperative radiotherapy with 6MV-X radiotherapy dose 4.0GY/20F/2w, rest 2 to 4 weeks for surgery. Results The short-term results of the comprehensive group and the surgery alone group were: radical resection rate was 80.5% and 51.1% (P<0.05), lymph node metastasis rate was 19.5% and 56.8% (P<0). .01), the margin positive rate was 2.4% and 9.1%, respectively. Conclusion Preoperative radiotherapy plus surgery combined treatment can improve and improve the therapeutic effect of esophageal tumors than surgery alone.