摘要
目的回顾分析治疗肺癌合并上腔静脉综合征的方法。方法９７例病人分为二组，先行放疗组（５１例）和先行化疗组（４６例）。其中，先放疗组分冲击放疗组（１２例）和常规放疗组（３９例），然后比较分析。结果先行放疗者完全缓解率（７２．６％），高于先行化疗者（２６％，Ｐ＜０．０１）。放射治疗组中，接受冲击放疗者，７天内症状缓解率（５０％），高于常规放疗者，（Ｐ＜０．０５。）结论在肺癌合并ＳＶＣＳ的治疗中。
Objective The treatment methods of lung cancer with SVCS were analysed retrospectively.Methods 97 patients were divided into two groups.Group I,51 patients were given radiotherapy firstly.Whereas group II,46 patients were given chemothrepy firstly.In group I,12 patients with high dose fractions and 39 patients with conventional fractions.Results Complete response rate of SVCS was 72.6% in group I and 26% in proup II.(P<0.01).Symptomatic relief of SVCS within 7 days was obtained in 6 of 12(50%) patients with high dose fractions and in 11 of 39(28.2%)patients with conventional fractionsl(P<0.05).Conclusion Radiotherapy with high dose fractions was the best way in treating lung cancer with SVCS.
关键词
肺癌
上腔静脉压缩
综合征
放射疗法
lung cancer Superior vena cana syndrome Radiotherapy
