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目的探讨食管癌患者普通放疗与适形放疗的疗效及预后的差别。方法择我院2005年10月～2011年12月治疗的124例食管癌患者,随机分成对照组和观察组各62例,对照组进行常规放疗,观察组进行三维适形放疗。结果两组患者均完成放疗疗程并进行了8～42个月的随访,对照组完全缓解(CR)1例,部分缓解(PR)20例,稳定(SD)23例,进展(PD)18例,总有效率为33.9%;观察组CR3例,PR31例,SD18例,PD10例,总有效率为54.8%,两组比较有显著性差异(P<0.05)。结论三维适形放射治疗食管癌疗效优于常规放疗组,值得临床推广。
Objective To investigate the difference between the curative effect and prognosis of esophageal cancer patients under general radiotherapy and conformal radiotherapy. Methods A total of 124 patients with esophageal cancer who were treated in our hospital from October 2005 to December 2011 were randomly divided into control group and observation group with 62 cases each. The control group received conventional radiotherapy and the observation group received three-dimensional conformal radiotherapy. Results The radiotherapy course was completed in both groups and was followed up for 8 to 42 months. The control group received complete remission (CR) in 1 case, partial remission (PR) in 20 cases, stable (SD) in 23 cases and progression (PD) in 18 cases , The total effective rate was 33.9%. The observation group CR3 cases, PR31 cases, SD18 cases, PD10 cases, the total effective rate was 54.8%, there was significant difference between the two groups (P <0.05). Conclusion Three-dimensional conformal radiotherapy esophageal cancer is superior to the conventional radiotherapy group, worthy of clinical promotion.