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目的探讨恶性肿瘤骨转移放射治疗方法。方法109例骨转移患者行放射治疗分A方案:3～5Gy/次,3次/周,隔日放射治疗1次,总量30～51Gy/2.5W～4W或B方案:2Gy/次,5次/周,每日放射治疗1次,总量40～61Gy/4W～6W。结果全部病人止痛显效率(完全缓解率+明显疼痛缓解率)为83.48%。放疗方案A组:止痛显效率为80.55%;放疗方案B组:止痛显效率为72.60%。全部病人生存3月～3年,中位生存时间11月。1年和2年生存率分别为22.94%、19.27%。结论恶性肿瘤骨转移放射治疗能够改善病人生存质量、延长生存时间。
Objective To investigate the radiotherapy of malignant tumor with bone metastasis. Methods One hundred and nine patients with bone metastasis undergoing radiotherapy were divided into two groups: 3 ~ 5Gy / time, 3 times / week, and radiation therapy every other day for 30 ~ 51Gy / 2.5W ~ 4W or B: 2Gy / / Week, daily radiotherapy 1 times, the total 40 ~ 61Gy / 4W ~ 6W. Results The effective rate of pain relief (complete remission rate + obvious pain remission rate) in all patients was 83.48%. Radiotherapy group A: analgesic markedly effective rate was 80.55%; radiotherapy program group B: analgesic markedly effective rate was 72.60%. All patients survived 3 months to 3 years, the median survival time in November. The 1-year and 2-year survival rates were 22.94% and 19.27% respectively. Conclusion Radiotherapy of malignant tumor with bone metastases can improve the quality of life of patients and prolong the survival time.