全胸移动条野放射治疗恶性胸水

RADIOTHERAPY OF MALIGNANT PLEURAL EFFUSION WITH MOVING STRIP TECHNIQUE

采用全胸移动条野照射技术 ,60 Co放射治疗恶性胸水 38例 ,近期疗效 ,胸水消失 5 0 .0 % ( 1 9/38) ,基本消失 2 6 .9% ( 1 0 / 38) ,总有效率 76 .9% ( 2 9/ 38)。其中单纯放疗组 2 1例 ,1 ,2 ,3年生存率分别为 4 2 .9%、33.2 %、4 .8% ,综合治疗组 1 7例 ,分别为 4 7.1 %、35 .3%、1 1 .8%。说明单纯放疗近期疗效不比腔内药物注射治疗差 ;生存率明显高于胸腔内药物注射配合全身化疗。而放疗配合全身化疗比单纯放疗生存率高 ,比腔内化疗配合全身化疗生存率更高。此法安全、无痛、有效 ,可在临床上进一步试用。

From Oct. 1985 through 1989, 38 patients with malignant pleural effusion were treated with 60Co moving strip technic. Complete response was 19/38 and marked response 10/38. The 1-,2-, and 3-year survival rates were 42.9%, 33.2% and 4.8% in radiation only group. The 1-, 2-, and 3 year survial rates were 47.1%, 35.3%, 11.8% in radiation combined with chemotherapy group. It is proved that radiation be surperior to intracavitary chemotherapy or radiation combind with systemic chemotherapy. This treatmet is safe and well tolerated by patients.