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一、食管癌 (一)治疗方针的探讨: 对食管癌的治疗方法有手术、放射线、化学疗法等等。虽然手术是首选手段,但从食管的解剖学特征来看,欲充分地分离切除淋巴节是困难的,由于存在高发生率的血管内侵袭及血管壁内转移,故不能过份指望仅靠手术便会获得很好的疗效,因此必须采用与其他治疗方法合并应用的综合性疗法。关于手术与放射治疗的合并应用虽然从1948年起施行至今,可是并不一定能巩固手术所创造的良好成果。后来虽曾并用过博莱床素,但是因出现多种不良反应,使其在临霉应用上常受限制。然而,由于近年新药顺氯氨铂(CDDP)问世,相当范围能替代应用。
First, the esophageal cancer (a) the treatment of the study: The treatment of esophageal cancer surgery, radiation, chemotherapy and so on. Although surgery is the preferred method, from the perspective of the anatomical characteristics of the esophagus, it is difficult to fully separate and remove the lymph nodes. Because of the high incidence of intravascular invasion and intravascular wall metastasis, it is not possible to expect surgery alone. You will get good results, so you must use a combination therapy with other treatments. Although the combined application of surgery and radiation therapy has been implemented since 1948, it does not necessarily consolidate the good results created by surgery. Later, although Bleomycin was used, it was often limited due to various adverse reactions. However, due to the advent of the new drug cisplatin (CDDP) in recent years, a considerable range can be used instead.