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肺癌致上腔静脉综合征综合治疗分析
引用本文:李 革,卜敏锐. 肺癌致上腔静脉综合征综合治疗分析[J]. 大连医科大学学报, 2009, 31(2): 198-199+203
作者姓名:李 革  卜敏锐
作者单位:本钢胸科医院,肿瘤放疗科,辽宁,本溪,117021
摘    要:[目的]探讨以冲击化疗为主后行放射治疗肺癌所致上腔静脉综合征的综合治疗临床效果。[方法]回顾分析31例肺癌致上腔静脉压迫综合征患者,先联合化疗;小细胞肺癌用CE(CBP;VP-16)或COME(CTX;VCR;MTX;VP-16)方案、非小细胞肺癌用CAP(CTX;ADM;PDD)或MVP(MMC;VDS;PDD)方案,配合消炎、利水、抗凝等综合治疗,症状体征缓解后开始放射治疗,总剂量DT4000~6000CGY,放疗结束3~4周再加强1个周期化疗。[结果]31例肺癌所致上腔静脉压迫综合征患者经上述治疗后完全缓解(CR)15/31(48.3%),部分缓解(PR)10/31(32.2%),无变化(NC)4/31(12.9%),进展(PD)2/31(6.4%),总有效率(CR+PR)25/31(80.6%)。[结论]肺癌所致上腔静脉压迫综合征患者首先以冲击化疗为主的综合治疗措施,后行放疗对病情缓解,改善生活质量有利。

关 键 词:上腔静脉综合征  肺肿瘤  化疗  放疗

Combined treatment of superior vena cava syndrome from lung cancer
LI Ge and BU Min-rui. Combined treatment of superior vena cava syndrome from lung cancer[J]. Journal of Dalian Medical University, 2009, 31(2): 198-199+203
Authors:LI Ge and BU Min-rui
Affiliation:LI Ge,BU Min-rui(Department of Radiation Oncology,the Chest Hospital of Benxi Steel , Iron Corporation,Benxi 117021,China)
Abstract:[Objective] This study is an investigation of the combined treatment of superior vena cava syndrome(SVCS) from lung cancer patients.[Methods] Clinical data of 31 patients with SVCS from lung cancer admitted to the hospital were retrospectively analyzed.The patients had been undergone chemotherapy as follows: Patients with small cell lung cancer were treated with CE(CBP;VP-16)or COME(CTX;VCR;MTX;VP-16),while those with Non-small cell lung cancer were treated with CAP(CTX;ADM;PDD) or MVP(MMC;VDS;PDD),companie...
Keywords:superior vena cana syndrome  lung carcinoma  radiotherapy  chemotherapy  
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