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目的:探讨中晚期食管癌病人化疗疗程效应与远期生存的关系。方法:对41例病人不同的疗程化疗效应,应用Cpd分析方法,做了数理分析,同时统计了远期生存,结果:随着化疗疗程的增加,实体瘤近期疗效降低,在P<0.05意义下,第Ⅰ疗程最好,第Ⅲ疗程最差,第Ⅱ疗程居中;中位生存期分别为:完成3个疗程的病人9.0个月,1~2个疗程为8.3个月,X2=0.642,P>0.05。结论:从生存质量和远期生存考虑Ⅱ~Ⅲ期食管癌病人化疗的选择,以两个疗程为好。
Objective: To investigate the relationship between the effect of chemotherapy and long-term survival in patients with advanced esophageal cancer. Methods: The effect of different courses of chemotherapy on 41 patients was analyzed by Cpd analysis method. The long-term survival was also calculated. Results: With the increase of chemotherapy course, the curative effect of solid tumor was reduced, P<0.05 In the sense, the first course was the best, the third stage was the worst, and the second stage was middle; the median survival period was: 9.0 months for patients who completed 3 courses, and 8.3 months for 1-2 courses. X2=0.642, P>0.05. Conclusion: Considering the choice of chemotherapy for patients with esophageal cancer in stage II-III from the quality of life and long-term survival, it is better to use two courses.