Hoshino K, Kimura O, Kawaguchi H, Fukui H, Ikeda M, Sasaki T
Dept. of Surgery, Yonago National Hospital.
Gan To Kagaku Ryoho. 2000 Apr;27(4):599-603.
We investigated six cases of inoperable remnant and recurrent gastric cancer treated with radiotherapy with regard to quality of life (QOL). The radiation dose was from 22 to 70 Gy, with a mean dose of 46 +/- 18 Gy. Four cases could be evaluated. Two were PR and two were NC. No patients could ingest food before radiotherapy, but two became able to eat whole gruel, one half gruel and three water. The mean survival time was 5.5 months and prognosis was not improved. Subjective symptoms such as food passage disturbance were decreased by radiotherapy and QOL was improved. Radiotherapy for patients with inoperable gastric cancer seemed to be effective in improving QOL.
我们针对6例无法手术切除的残留及复发性胃癌患者接受放射治疗后的生活质量（QOL）进行了调查。放射剂量为22至70 Gy，平均剂量为46±18 Gy。4例患者可进行评估。2例部分缓解（PR），2例病情稳定（NC）。放疗前所有患者均无法进食，但放疗后2例能够进食全流食，1例能进食半流食，3例能进水。平均生存时间为5.5个月，预后未改善。放疗使食物通过障碍等主观症状减轻，生活质量得到改善。对于无法手术切除的胃癌患者，放疗似乎对改善生活质量有效。
