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本文介绍62例直肠癌,手术前当天或前一天放疗5000rad,然后手术,根据病理分期,A及B期不作进一步治疗,B_2、C_1及C_2期作术后效疗,4500rad/5周,包括全盆腔,D期姑息治疗。 21例A及B_1期不作进一步治疗,无局部复发,37例属B_2、C_1及C_2期的病人中21例作术后放疗,其余16例未作术后放疗,随诊6～36月,中数时间为18月,前者仅2例(9%)远地转移无局部复发,而后者中有3例局部复发,2例远地转移〔5/16(31%)〕。术后放疗最多见的反应是轻度腹泻,有5例伤口延迟愈合,其中3例因为感染,有1例小肠梗阻,外科再手术。
This article describes 62 cases of rectal cancer, radiotherapy 5000rad on the day before or the day before surgery, and then surgery, according to the pathological stage, A and B phase without further treatment, B2, C_1 and C2 stage for postoperative efficacy, 4500rad/5 weeks, including full Pelvic, D palliative treatment. Twenty-one patients with stage A and B 1 were not treated further, and no local recurrence was found. Twenty-one cases of B 2 , C 1 and C 2 patients were treated with postoperative radiotherapy. The remaining 16 patients had no postoperative radiotherapy and were followed up for 6 to 36 months. The time was 18 months. The former had only 2 cases (9%) with no local recurrence of distant metastases, while the latter had 3 cases of local recurrence and 2 cases of distant metastases (5/16 (31%)). The most common response to postoperative radiotherapy was mild diarrhea, with delayed healing of 5 wounds, of which 3 were due to infection and 1 had small bowel obstruction and surgical reoperation.