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本文收集了我院1970—1980年接受放射治疗的胸腺瘤107例资料,并与同期我院与市胸科医院等单位单纯手术的115例作对照研究。结果表明:综合治疗的疗效不论病期早晚均优于单纯手术。指出即使包膜完整的Ⅰ期病例在根治性手术后,仍应作术后补充放疗;本组资料显示:淋巴细胞为主型胸腺瘤对放射敏感性高,综合治疗疗效佳,三年、五年、十年生存率均为100％;其术后放射剂量以4000CGY较为合适,上皮型及混合型胸腺瘤术后放射剂量一般不宜低于5000CGY。
This article collected 107 cases of thymoma treated with radiotherapy in our hospital from 1970 to 1980, and compared with 115 cases of simple operation in our hospital and city chest hospital. The results showed that the efficacy of comprehensive treatment was superior to that of simple surgery regardless of the disease duration. It is pointed out that even with complete encapsulated stage I cases, postoperative radiotherapy should be performed after radical surgery; this group of data shows that lymphocyte-predominant thymoma has high radiosensitivity, and the comprehensive treatment has good curative effect. Three years and five years The annual and ten-year survival rates were all 100%; the postoperative radiation dose was 4000CGY, and the postoperative radiation dose of epithelial and mixed thymoma was generally not lower than 5000CGY.