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目的通过分析恶性肿瘤引起上腔静脉综合征的主要致病原因和原发病变部位,旨在提高对恶性肿瘤引起上腔静脉综合征的认识。方法回顾分析有完整病例资料的恶性肿瘤合并上腔静脉综合征病例266例。结果266例患者中以右上肺病变引起的上腔静脉综合征占62.9%,其次是右上纵隔病变。病理类型以小细胞肺癌和非小细胞肺癌为主。结论当右肺、右纵隔恶性肿瘤诊断、随访时,应密切观察是否有合并有上腔静脉综合征,通过临床表现和影像学检查尽早诊断,及时诊断,以提高患者的生存质量和生活质量。
Objective To analyze the main causative factors and primary lesion of the superior vena cava syndrome caused by malignant tumors in order to improve the cognition of malignant superior vena cava syndrome. Methods A retrospective analysis of 266 cases of malignant tumor with superior vena cava syndrome with complete case data was performed. Results 266 cases of superior pulmonary artery disease caused by superior vena cava syndrome accounted for 62.9%, followed by the right upper mediastinal disease. Pathological types of small cell lung cancer and non-small cell lung cancer. Conclusion When the right and right mediastinal malignant tumors are diagnosed and followed up, we should closely observe the presence of superior vena cava syndrome and diagnose them as soon as possible by clinical manifestations and imaging examination to improve the quality of life and quality of life.