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目的观察原发性肝癌伴有骨转移的临床症状及治疗效果。方法对于所收治的33例原发性肝癌伴有骨转移的患者,行6MV加速器大剂量分割治疗,剂量为30 Gy~50Gy,中位放射治疗量为40Gy,结合CT、X片或ECT片,针对骨破坏位置,以止痛为主要目的。结果肝癌伴骨转移经过大剂量放射治疗,疼痛缓解总有效率97%,放射治疗后疼痛缓解时间48小时~10天,中位时间5.5天,个别患者放射治疗结束后疼痛逐渐缓解。结论骨转移患者由于生存时间短,不适宜行手术治疗、介入治疗及内放射治疗,而常规放射治疗,因为止痛时间快,缓解疼痛率高,副作用小,对于生存期较短的原发性肝癌患者,不失为一个好的治疗手段。
Objective To observe the clinical symptoms and treatment of primary liver cancer with bone metastasis. Methods 33 cases of primary liver cancer with bone metastasis were treated with high dose of 6MV accelerator. The dose was 30 Gy ~ 50 Gy and the median dose of radiation was 40 Gy. Combined with CT, X-ray or ECT, For the destruction of bone location, to the main purpose of pain relief. Results The results showed that the total effective rate of pain relief was 97% in patients with liver cancer with bone metastasis and 48 hours to 10 days after radiotherapy. The median time was 5.5 days. The pain relieved gradually in some patients after radiotherapy. Conclusion Due to the short survival time, patients with bone metastasis are not suitable for surgical treatment, interventional therapy and internal radiation therapy. Conventional radiation therapy, because of the fast analgesic time, high pain relief rate and small side effects, Patients, after all, a good treatment.