全身伽玛刀治疗上腔静脉综合征疗效分析

Clinical analysis in treatment of superior vena cava syndrome with the whole-body gamma knife

目的 探讨立体定向体部伽玛刀治疗肺癌所致上腔静脉阻塞综合征(SVCS)的近期疗效。方法 利用深圳奥沃公司生产OUR-QGD型全身伽玛刀治疗肺癌所致SVCS患者11例,比较治疗前后临床症状、体征以及病灶影像学变化。结果 10例患者临床症状、体征均较治疗前显著改善。1个月后复查CT,部分病灶消失,部分病灶明显缩小。结论 全身伽玛刀治疗肺癌所致SVCS的近期疗效显著,治疗时间短,是一种安全、有效的治疗肺癌所致SVCS的新方法。

Objective To evaluate the efficiency for patients with superior vena cava syndrome (SVCS) of lung cancer by using OUR-QGD γ ray stereotactic radiotherapy (the whole-body gamma knife) .Methods Eleven cases of SVCS with lung cancer were performed with the whole-body gamma knife. The diameters of focus and clinical symptom of pre-irradiation and post-irradiation were compared. Results Clinical conditions of 10 patients were significantly improved. Only one had no change, the others all with response. Conclusion The whole body gamma knife is a safe and effective new way in the treatment of SVCS caused by lung cancer.