Azhigaliev N A, Kusherbaev S K, Sadykov S S, Asanov A A, Fel'dman S Z
Med Radiol (Mosk). 1990 Jun;35(6):20-3.
Eight therapeutic variants were worked out for 602 patients with esophageal cancer: 61 patients entered in the control group. The latter received routine radiation therapy. The results of therapy of 496 patients were studied. The most promising method was chemoradiotherapy using multifractionation of a daily dose of irradiation, the 4-year survival rate of 20% being achieved. For combination with radiation therapy the following schemes of chemotherapeutic agents were used bleomycin-methotrexate-prospidine, bleomycin-adriamycin-methotrexate, dactinomycin-methotrexate-prospidine, methotrexate-prospidine. Intensive detoxication therapy with parenteral feeding is recommended to decrease the frequency of complications and to improve therapy tolerance.
为602例食管癌患者制定了8种治疗方案:61例患者进入对照组,后者接受常规放射治疗。对496例患者的治疗结果进行了研究。最有前景的方法是采用每日分次照射的放化疗,4年生存率达到20%。为与放射治疗联合,使用了以下化疗药物方案:博来霉素-甲氨蝶呤-丙脒腙、博来霉素-阿霉素-甲氨蝶呤、放线菌素D-甲氨蝶呤-丙脒腙、甲氨蝶呤-丙脒腙。建议采用肠外营养进行强化解毒治疗,以降低并发症发生率并提高治疗耐受性。