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目的探讨适形放疗联合甲地孕酮治疗原发性肝癌伴门静脉主干瘤栓的临床疗效及毒副反应。方法治疗组25例给予适形放疗联合甲地孕酮,对照组25例单纯给予适形放疗,观察两组疗效、不良反应发生率及生活质量情况。结果治疗组的近期疗效高于对照组,但两组相比无统计学意义。治疗组白细胞下降的发生率低于对照组,生活质量较对照组明显提高,两组比较有统计学意义。结论适形放疗可改善原发性肝癌局控率及生存率,有重要的临床应用价值。甲地孕酮可改善患者的提高生活质量、保护骨髓,提高患者放疗耐受性。
Objective To investigate the clinical efficacy and side effects of conformal radiotherapy combined with megestrol in the treatment of primary hepatocellular carcinoma with portal vein tumor thrombus. Methods Twenty-five patients in the treatment group received conformal radiotherapy combined with megestrol and 25 patients in the control group received conformal radiotherapy. The curative effect, incidence of adverse reactions and quality of life were observed in both groups. Results The curative effect of the treatment group was higher than that of the control group, but there was no significant difference between the two groups. The incidence of leukopenia in the treatment group was lower than that in the control group, and the quality of life was significantly higher than that in the control group. The two groups were statistically significant. Conclusions Conformal radiotherapy can improve the control rate and survival rate of primary liver cancer, which has important clinical value. Megestrol can improve patients’ quality of life, protect the bone marrow and improve the patient’s radiotherapy tolerance.