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本文对90例恶性肿瘤脑转移的治疗及预后进行了总结,结果显示:手术+放疗+化疗,手术+放疗,放疗+化疗的中位生存期分别为10.5个月、9.7个月及8个月,1年生存率分别为40%、40%及30.43%,显著优于单纯手术组,单纯放疗组及单纯化疗组(P<0.05)。卡氏评分≥60分,原发灶控制、仅有颅内转移的患者预后较好。作者认为在恶性肿瘤脑转移治疗中,以放疗为主的综合治疗是一种比较合理的治疗方法,对延长生存期有不同程度的提高。
This article summarizes the treatment and prognosis of brain metastases in 90 cases of malignant tumors. The results showed that the median survival of surgery + radiotherapy + chemotherapy, surgery + radiotherapy, radiotherapy + chemotherapy were 10.5 months and 9.7 months And 8-month, 1-year survival rates were 40%, 40% and 30.43%, respectively, which were significantly better than that of surgery group, radiotherapy alone group and chemotherapy alone group (P <0.05). Card score ≥ 60 points, primary control, only the intracranial metastasis of patients with better prognosis. The authors believe that in the treatment of malignant brain metastases, radiotherapy-based comprehensive treatment is a more reasonable treatment, to extend the survival of varying degrees of improvement.