摘要
1959年5月至1990年12月,本院收治的320例伴上腔静脉压迫症的肺癌,经治疗286例(89.4%)症状有缓解,205例(64.1%)症状完全缓解。先行放射治疗者的完全缓解率(71.6%)高于先行化疗者(26.4%),P<001,放射治疗组中,接受冲击放疗者,1周内症状缓解率(51.5%)高于常规放疗或低剂量分割放疗者(27.2%),P<0.05,本结果提示,治疗并发上腔静脉压迫征肺癌,应先行放射治疗,冲击放疗可加速症状缓解。
AbstractFrom May 1959 to December 1990, 320 patients with carcinoma of the lung pre-senting with SVCS were treated in our hospital. Relief of SVCS was observed in89.4%(286/320) and complete relief of SVCS was obtained in 64.1%(205/320) of pa-tients. Complete relief rate of SVCS was 71.6%in the primary radiotherapy groupand 26.4%in the chemotherapy group(P<0.01). Symptomatic relief of SVCS wi-thin 7 days was obtained in 17 of 33(51.5%)patients with high dose fractions (300-400cGy/day × 3 or 4 treatments) and in 37 of 136(27.2%)patients with conventio-nal fractions(180-200 cGy per day) or low dose fractions(50-100cGy/day,5-10 trea-tments)(P<0.05). The authors suggest that radiotherapy with high daily dose fra-ctions be the best way in treating lung cancer with SVCS.
出处
《中华放射肿瘤学杂志》
CSCD
1994年第1期27-30,72-73,共6页
Chinese Journal of Radiation Oncology