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目的探讨术中放疗对中晚期肺癌的临床意义。方法 作者自1998年5月至2001年5月选择26例中晚期非小细胞肺癌患者,其中多数(19/26)为Ⅲ期肺癌,在手术中行肺切除术后对可疑的残存病灶或亚临床病灶给予5～25Gy的单次大剂量照射。结果 26例病人术后恢复良好,无并发症发生。结论 对中晚期肺癌患者实施术中放疗,只要选择合适的病例,适当的放射剂量,效果良好,而且无明显并发症。但长期效果尚待进一步研究。
Objective To investigate the clinical significance of intraoperative radiotherapy for advanced lung cancer. Methods The authors selected 26 patients with advanced non-small cell lung cancer from May 1998 to May 2001, the majority of which (19/26) were stage III lung cancers. After operation, they were treated with suspected residual disease or subclinical Lesions given a single dose of 5 ~ 25Gy high dose irradiation. Results 26 cases of patients recovered well without complications. Conclusions The intraoperative radiotherapy for patients with advanced lung cancer, as long as the appropriate choice of cases, the appropriate dose of radiation, the effect is good, but no significant complications. However, the long-term effect needs further study.