32例肺癌合并上腔静脉综合征的临床分析  

Lung Cancer with Superior Vena Cava Syndrome of 32 Cases

作　　者：许尔屹[1] 王莉彦[1] 王东伟[1] 刘媛媛[1] 

机构地区：[1]黑龙江省医院,黑龙江哈尔滨150001

出　　处：《黑龙江医学》2011年第7期521-522,共2页Heilongjiang Medical Journal

摘　　要：目的探讨由肺癌所致的上腔静脉综合征(SVCS)的治疗方法。方法本组肺癌致上腔静脉综合征32例中,化疗25例,放疗3例,综合治疗4例。结果症状缓解时间为治疗后2～21 d3。2例患者中,完全缓解(CR)5例(15.6%),部分缓解(PR)19例(59.4%),无变化(NC)5例(15.6%),进展(PD)3例(9.4%),总有效率(CR+PR)25例(75%)。经冲击化疗后,联合放疗的4例及单用放疗的3例SVCS症状均得到缓解。结论采用化疗加放疗,可使造成上腔静脉综合征的瘤体迅速缩小,受压症状消失快,疗效高,不失为上腔静脉综合征临床选用的治疗手段。Objective To discuss the treatment of Lung Cancer induced SVCS.Methods 32 cases of such patients were observed.Among them,25 cases were treated with chemotherapy,3 cases radiotherapy and 4 case adopted comprehensive treatment.Results It takes 2 to 21 days to relieve symptoms.CR was 15.6%,PR was 59.4%,NC was 15.6% and PD was 9.4%.Total efficient was 75%,Symptoms was relieved by chemotherapy for 4 cases and radiotherapy for 3 cases.Conclusion It makes SVCS tumor decreased rapidly by chemotherapy and radiotherapy,pressure symptoms disappeared fast,the effect was good.The method might be one of the best treatment for SVCS.

关 键 词：肺癌 上腔静脉综合征 化疗 放疗 

分 类 号：R734.2[医药卫生—肿瘤]