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目的应用适形放疗技术治疗高龄患者的食管癌,评价疗效和并发症。方法 37例未手术的高龄患者食管癌给予适形放射治疗。放疗剂量:1.8～2Gy/(次d),5次/周,共计60～66Gy/30～37次;3～9个适形照射野。结果治疗后1～6个月复查食管X线片和CT,近期有效率97.3%(36/37);1年、2年、3年、4年和5年生存率分别为79.38%、66.76%、49.73%、33.51%和24.41%。结论高龄患者食管癌的适形放射治疗,疗效较好,并发症少,是不能手术患者一种较好的治疗方式。
Objective To evaluate the efficacy and complications of conformal radiotherapy for esophageal cancer in elderly patients. Methods 37 cases of elderly patients without esophageal cancer surgery conformal radiotherapy. Radiotherapy dose: 1.8 ~ 2Gy / (times d), 5 times / week, a total of 60 ~ 66Gy / 30 ~ 37 times; 3 ~ 9 conformal irradiation field. Results The esophageal X-ray films and CT were reviewed at 1 to 6 months after treatment. The effective rate was 97.3% (36/37) at 1, 2, 3, 4 and 5 years. The survival rates were 79.38% and 66.76% , 49.73%, 33.51% and 24.41% respectively. Conclusions Conformal radiotherapy for esophageal cancer in elderly patients has better curative effect and fewer complications, which is a better treatment for patients with inoperable.