CAJ | 학술논문

目的：评价同步放化疗在老年食管癌治疗中的应用价值。方法87例老年食管癌患者随机分为同步放化疗组（42例）和单独放疗组（45例），随访2组临床疗效及毒副反应。结果同步放化组和单放组的总有效率（CR＋PR）分别为92．9％、77．8％，2组比较差异有统计学意义（P ＜0．05）；同步放化组和单放组的12年生存率分别为85．7％、59．5％，66．7％、37．8％，生存率比较差异有统计学意义（P ＜0．05）；同步放化疗组的毒副反应高于单独放疗组（P ＜0．05）。结论同步放化疗能提高老年食管癌患者总有效率及1、2年生存率，但亦显著增加了放疗副反应。
목적：평개동보방화료재노년식관암치료중적응용개치。방법87례노년식관암환자수궤분위동보방화료조（42례）화단독방료조（45례），수방2조림상료효급독부반응。결과동보방화조화단방조적총유효솔（CR＋PR）분별위92．9％、77．8％，2조비교차이유통계학의의（P ＜0．05）；동보방화조화단방조적12년생존솔분별위85．7％、59．5％，66．7％、37．8％，생존솔비교차이유통계학의의（P ＜0．05）；동보방화료조적독부반응고우단독방료조（P ＜0．05）。결론동보방화료능제고노년식관암환자총유효솔급1、2년생존솔，단역현저증가료방료부반응。
Objective To evaluate the efficacy of capecitabine and nedaplatin combined with chemoradiotherapy in the treatment of the elderly patients with esophageal cancer.Methods 87 patients were randomly divided into concurrent chemoradiotherapy group(42 patients)and radio-therapy group(45 patients).The chemoradiotherapy group was treated with concurrent radiothera-py combined with chemotherapy while the radiotherapy group was treated with radiotherapy only. Results The overall efficacy (CR+PR)rates of concurrent chemoradiotherapy group and control group were 92.9% and 77.8,the difference was significant between the two groups(P <0.05). The survival rate of concurrent group after 1 year and 2 years was higher than that in the control group (85.7%,59.5% in 1 year vs 66.7%,37.8% in 2 years respectively).And the difference in toxicity was significant between the two groups with higher toxicity in the concurrent chemoradio-therapy group than in the control group (P <0.05).Conclusion The concurrent chemoradiother-apy in the treatment of the elderly with esophageal cancer can improve the overall efficacy rates and 1,2 year survival rates,but the toxicity was significantly higher.