体部伽玛刀联合化疗姑息治疗癌性上腔静脉综合征的效果

Effect of body gamma knife combined with chemotherapy palliative treatment on carcinomatous superior vena cava syndrome

目的探讨体部伽玛刀联合化疗姑息疗法治疗癌性上腔静脉综合征的临床效果。方法选取2017年2月至2018年8月在郑州人民医院治疗的癌性上腔静脉综合征患者92例为研究对象,给予所有患者体部伽玛刀联合化疗姑息治疗处理,治疗一周期后应继续化疗4个周期。观察、记录患者的临床治疗结局。结果92例患者中不存在病情发展情形,即临床诊治有效性为97.83%(90/92)。对放疗敏感度较低的非小细胞癌患者也获得理想的近期疗效。结论在癌性上腔静脉综合征患者的临床治疗过程中应用体部伽玛刀联合化疗姑息疗法进行治疗,诊治结局甚佳,能够有效缓解患者的临床症状,提升临床治愈率,增强患者的耐受性,同时有助于降低不良反应的发生率及疾病复发率,临床应用价值十分理想。

Objective To investigate the clinical effect of body gamma knife combined with chemotherapy palliative therapy on carcinomatous superior vena cava syndrome.Methods From February 2017 to August 2018,92 patients with carcinomatous superior vena cava syndrome were selected as the study objects.All patients were treated with body gamma knife combined with chemotherapy.Chemotherapy should be continued for 4 cycles after one cycle of treatment.The clinical treatment outcomes of the patients were observed and recorded.Results There was no development of the disease in 92 patients,that is,the effectiveness of clinical diagnosis and treatment was 97.83%(90/92).Ideal short-term results were also obtained for non-small cell carcinoma patients with low radiosensitivity.Conclusions In the clinical treatment of patients with carcinomatous superior vena cava syndrome,body gamma knife combined with chemotherapy palliative therapy is used.The results are very good.It can effectively alleviate the clinical symptoms of patients,improve the clinical cure rate,enhance the tolerance of patients,and help to reduce the incidence of adverse reactions and disease recurrence rate.The clinical application value is very ideal.