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目的探讨放疗联合热疗及卡培他滨治疗消化道肿瘤腹腔淋巴结转移的效果及安全性。方法将44例消化道肿瘤腹腔淋巴结转移的患者分为两组:观察组22例接受三维适形放疗联合射频热疗及卡培他滨治疗。对照组22例给予单纯适形放疗。治疗结束后三个月评估疗效及不良反应。结果观察组和对照组有效率分别为90.9%(20/22)和63.6%(14/22),差异有统计学意义(P=0.033);疾病控制率分别为95.5%和72.7%,差异有统计学意义(P=0.042),观察组和对症组均无严重不良反应。结论三维适形放疗联合射频热疗及卡培他滨有效的控制消化道肿瘤腹腔淋巴结转移,且不良反应可耐受,值得临床推广。
Objective To investigate the efficacy and safety of radiotherapy combined with hyperthermia and capecitabine in the treatment of digestive lymph node metastasis of digestive tract. Methods Forty-four patients with celiac lymph node metastasis of digestive tract tumors were divided into two groups: observation group (n = 22) received three-dimensional conformal radiotherapy combined with radiofrequency thermotherapy and capecitabine. Control group, 22 cases were given conformal radiotherapy alone. Three months after treatment evaluation of efficacy and adverse reactions. Results The effective rates of the observation group and the control group were 90.9% (20/22) and 63.6% (14/22), respectively, with statistical significance (P = 0.033). The disease control rates were 95.5% and 72.7% Statistical significance (P = 0.042), the observation group and the symptomatic group had no serious adverse reactions. Conclusion Three-dimensional conformal radiotherapy combined with radiofrequency thermotherapy and capecitabine can effectively control the abdominal lymph node metastasis of gastrointestinal cancer, and the adverse reactions are tolerable and worthy of clinical promotion.