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我院自1963年10月至1991年1月,收治滑膜肉瘤67例。其中外院手术后转来做术后放疗25例,本院术后放疗25例、术前术后放疗17例。外院术后转来放疗者3、5年生存率为24%和16%,与本院术后放疗者3、5年生存率为48%和40%相比(P<0.05)。术前术后放疗者5年生存率52%。笔者认为首次手术作广泛切除至关重要;术后放疗可杀灭残存的微小肿瘤灶,降低复发率;术前放疗能缩小瘤体、提高切除率及降低局部复发率。术前放疗、术后放疗、手术的综合治疗可能是中晚期滑膜肉瘤的一种较好的治疗方法。
In our hospital from October 1963 to January 1991, 67 cases of synovial sarcoma were treated and treated. Among them, 25 cases were treated with postoperative radiotherapy after surgery in the hospital, 25 cases were postoperative radiotherapy, and 17 cases were postoperative radiotherapy. The 3-year and 5-year survival rates of patients who received radiotherapy after surgery in the external hospital were 24% and 16%, respectively, compared with 48% and 40% at 3 and 5 years after radiotherapy in this hospital (P<0.05). The 5-year survival rate of preoperative and postoperative radiotherapy was 52%. I believe that the first surgery for a wide range of resection is essential; postoperative radiotherapy can kill the remaining tiny tumors, reduce the recurrence rate; preoperative radiotherapy can shrink the tumor, increase the resection rate and reduce the local recurrence rate. Preoperative radiotherapy, postoperative radiotherapy, and surgery may be a good treatment for advanced and advanced synovial sarcoma.