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目的 :总结 18年放射治疗舌癌的经验。方法 :对 1979～ 1996年 18年间放射治疗的 96例舌癌进行回顾性分析 ,其中男 6 8例 ,女 2 8例 ,年龄 2 0～ 72岁 ,Ⅰ期 3例 ,Ⅱ期 8例 ,Ⅲ期 4 0例 ,Ⅳ期 4 5例 ,晚期病例 (Ⅲ ,Ⅳ期 )占 88.5 4 % (85 / 96 ) ;单纯放疗者 2 9例 ,手术 +术后放疗 6 7例。结果 :全组 1、3、5年生存率分别为 75 .1% ,4 6 .6 % ,35 .6 % ,手术 +放疗治疗 1,3,5年生存率分别为 87.5 0 % ,4 9.6 2 % ,37.4 6 % ,单纯放疗 1,3,5年生存率分别为 4 5 .83% ,2 0 .83% ,17.6 4 % ,(Log -Rank =16 .75 ,P <0 .0 1)。结论 :舌癌术后放射治疗能提高患者生成率。
Objective: To summarize the experience of radiotherapy for tongue cancer in 18 years. Methods: A retrospective analysis was performed on 96 cases of tongue cancer treated by radiotherapy during the 18 years from 1979 to 1996, including 68 males and 28 females, aged 20 to 72 years, 3 cases of stage I, 8 cases of stage II, 40 cases were stage Ⅳ, 45 cases were stage Ⅳ, 88.5% (85/96) cases were late stage (stage Ⅲ, Ⅳ), 29 cases were simple radiotherapy and 67 cases were operation + postoperative radiotherapy. Results: The 1, 3, 5-year survival rates were 75.1%, 46.6% and 35.6% respectively, and the 1, 3 and 5-year survival rates after operation and radiotherapy were 87.5% and 9.6% 2% and 37.4% respectively. The 1, 3 and 5-year survival rates of radiotherapy alone were 45.38%, 20.83% and 17.6%, respectively ). Conclusion: Postoperative radiotherapy of tongue cancer can improve the patient’s rate of production.