论文部分内容阅读
目的 回顾分析肺上沟癌不同治疗方法,寻找最佳治疗方法。方法 收集1982年12月～1992年12月间37例肺上沟癌,临床分期Ⅲa期32例,Ⅲb期5例,手术治疗5例,术后放疗5例,单纯放疗27例,约有半数病人行不规则静脉化疗。结果 全组1、3、5年生存率为57％、22％、14％。手术组、术后放疗组、放疗组3、5年生存率为0％、26％、20％和0％、19％、0％。放疗组DT≥60Gy、3、5年生存率为47％32％、DT<60Gy无3、5年生存率,两者差异显著(p<0.05)。结论 单纯放疗可能较手术或术后放疗效果好,但由于病例数少,不能下结论;单纯放疗宜DT≥60Gy。
Objective To retrospectively analyze different treatments for supra-pulmonary sulcus cancer and find the best treatment. Methods Thirty-seven cases of supra-pulmonary carcinoma were collected from December 1982 to December 1992. There were 32 cases with clinical stage IIIa, 5 cases with stage IIIb, 5 cases received surgical treatment, 5 cases received postoperative radiotherapy, and 27 cases received radiotherapy alone. The patient received intravenous chemotherapy. Results The overall 1-, 3-, and 5-year survival rates were 57%, 22%, and 14%. The 3-year and 5-year survival rates of the surgery group, postoperative radiotherapy group, and radiotherapy group were 0%, 26%, 20%, and 0%, 19%, and 0%. Radiotherapy group DT ≥ 60Gy, 3, 5-year survival rate was 47% 32%, DT <60Gy no 3, 5-year survival rate, the difference was significant (p <0.05). Conclusion Radiotherapy alone may be more effective than surgery or postoperative radiotherapy. However, due to the small number of cases, conclusions cannot be drawn; radiotherapy alone should be DT ≥ 60 Gy.