首页|立体定向放射治疗对非小细胞肺癌脑转移患者肿瘤标志物及预后的影响

立体定向放射治疗对非小细胞肺癌脑转移患者肿瘤标志物及预后的影响

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目的 探讨立体定向放射治疗对非小细胞肺癌(NSCLC)脑转移患者肿瘤标志物及预后的影响.方法 选取2019年1月至2021年12月山东省戴庄医院收治的NSCLC脑转移患者60例,按随机数表法分为对照组和观察组,每组各30例.对照组予以常规化疗,观察组加用立体定向放射治疗,化疗3个周期后评价.比较两组临床疗效、生存情况、肿瘤标志物、生存质量及不良反应发生情况.结果 观察组临床疗效、生存情况优于对照组,差异有统计学意义(P<0.05);治疗后,观察组肿瘤标志物水平低于对照组,生活质量各领域评分高于对照组,差异有统计学意义(P<0.05);两组各不良反应发生率比较,差异无统计学意义(P>0.05).结论 立体定向放射治疗有利于NSCLC脑转移患者病情控制,可降低肿瘤标志物水平,改善患者生存情况,且安全可靠,值得临床应用.
Impacts of stereotactic radiotherapy on tumor markers and prognosis of patients with brain metastasis from non-small cell lung cancer
Objective To investigate the impacts of stereotactic radiotherapy on tumor markers and prognosis of patients with brain metastases from non-small cell lung cancer(NSCLC).Methods A total of 60 patients with brain metastases from NSCLC admitted to Shandong Daizhuang Hospital from January 2019 to December 2021 were selected and divided into control group(n=30)and observation group(n=30)by random number table method.The control group was given conventional chemotherapy,and observation group was added with stereotactic radiotherapy.After three cycles of chemotherapy,they were evaluated.The two groups'clinical efficacy,survival status,tumor markers,quality of life and adverse reactions were compared.Results Observation group's clinical efficacy and survival were better than control group's,with statistically significant differences(P<0.05).After treatment,observation group's tumor markers level was lower than control group's,and the scores of quality of life in all fields were higher than control group's,with statistically significant differences(P<0.05).Comparison of the incidence of each adverse reaction between the two groups,with no statistically significant difference(P>0.05).Conclusion Stereotactic radiotherapy can increase the disease control effect of patients with brain metastasis from NSCLC,reduce the level of tumor markers,prolong the survival time of patients and improve their quality of life.Therefore,it is safe,reliable and worthy of clinical application.

Non-small cell lung cancerBrain metastasisStereotactic radiotherapyHeart rate variabilityPrognosis

郭延勇、于立、刘森

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山东省戴庄医院伽马刀科,山东济宁 272000

非小细胞肺癌 脑转移 立体定向放射治疗 心率变异性 预后

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(14)