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我所内科1988~1993年收治肺癌患者1006例,脑转移83例,占8.25%。由于治疗方法不同,其预后极其不同。手术切除加放疗化疗与单纯放疗化疗的生存率有显著性差异(P<0.05),放疗化疗综合治疗组疗效预后好于单一治疗组(P<0.05)。因此在肺癌确诊后应常规作脑影像学检查,可望早期诊断,这是提高疗效和生存质量的重要因素。
The Department of Internal Medicine of our hospital received 1,006 cases of lung cancer from 1988 to 1993, and 83 cases of brain metastases, accounting for 8.25%. Due to different treatment methods, the prognosis is extremely different. The survival rate of surgical resection plus radiotherapy chemotherapy and radiotherapy alone had significant difference (P<0.05). The radiotherapy and chemotherapy combined treatment group had a better prognosis than the single treatment group (P<0.05). Therefore, brain imaging examination should be performed routinely after diagnosis of lung cancer, which is expected to be diagnosed early. This is an important factor to improve the efficacy and quality of life.