脑转移瘤几种不同治疗方法疗效分析

 目的 回顾性分析脑转移瘤采用单纯放疗（R）、放疗加化疗（R＋C）、立体放射外科加放疗（SRS＋R）治疗效果及影响因素。方法 1993年3月至1998年6月间对收治的脑转移瘤中有61例进行分组治疗观察。结果 6月、12月、＞12月生存率及局部控制率R组分别为54．1％、16．3％、2．7％和16．2％,R＋C组分别为75％、33．3％、25％和41．6％,SRS＋R组分别为83．3％。58．3％、41．6％和91．6％。结论 SRS＋R治疗脑转移瘤在延长患者生存期及局部控制上要优于R和R＋C组。

The Effects of Different Methods in The Treatment of Brain Metastasis

The effects of treat the brain metastasis with radiotherapy along(R), radiotherapy plus chemotherapy (R C) and stereotactic radiosurgery plus radiotherapy (SRS R)were analysed rebepectively. Methods From May 1993 to June 1998, 61 cases of brain metastasis were studied in 3 groups. Results The 6-, 12 -, > 12-month survival rate and foral control rate in group R as 54. 1%, 16.3%, 2.7% and 16.2%,in group R C as 75.0%, 33.3%, 25.0% and 41 .6%, in gruop SRS R as 83.3%, 58.3%,41 .6% and 91 .6%. Conclusion SRS R is superior than R C and R in the prolong survile peried and local control in treat the brain metastase.