46例肺癌合并上腔静脉综合征的临床分析

摘要

目的：回顾分析肺癌合并上腔静脉综合征的放疗效果，探讨上腔静脉综合征的最佳放疗方式。方法：46例肺癌合并上腔静脉综合征患者，常规剂量放疗组20例，大剂量冲击放疗组26例，治疗结束后分析比较疗效。结果：两组照射方法均具有较好的近期疗效，冲击放疗组7天内症状缓解率明显高于常规剂量放疗组，并且不良反应不增加。但两组比较完全缓解率、总缓解率及长期生存率无显著性差异。结论：对于病情较重、病期较晚无法耐受化疗的肺癌合并上腔静脉综合征患者，大剂量冲击放疗能迅速缓解症状，近期疗效较好，不良反应可以耐受，值得进一步推广。%Objective:To explore the best radiotherapy method for lung cancer complicated with superior vena cava syndrome( SVCS). Methods:The radiotherapy methods of 46 patients with the disease were retrospectively analyzed by dividing them into two groups:20 patients were given conventional dose radiotherapy and 26 patients were given high dose impact radiotherapy. Results:Both groups of irradiation method has better recent curative effect,the impact of radiotherapy group within 7 days of symptom remission rate was significantly higher than that of conventional dose radiotherapy group,and without increasing side effects. But the complete remission rate,total remission rate and long-term survival rate had no significant difference. Conclusion:In the treatment of lung cancer complicated with supe-rior vena cava syndrome,high-dose radiotherapy can quickly relieve symptoms,and the recent curative effect is bet-ter,side effects can be tolerated.