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1989年至1991年治疗肺不张患者59例,皆Kamofsky分级20～30分。治疗分2组。A组30例,先小野照射40Gy/3～4wk,2.2～2.5Gy/f, 后大野20～30Gy/2～3wk,2Gy/f, 再挡小野加10～20Gy。B组先大野40Gy/4wk,2Gy/f, 后缩野照20～30Gy/2～3wk,2Gy/f。两组照射60～70Gy后,肺不张解除率分别为:A组86.7％(26/30),B组58.6(17/29),P<0.05。Karnofsky分级疗后上升至60分者A组66.7％(20/30),B组27.6％(8/29),P<0.05。2年生存率A组23.3％(7/30),B组20.7％(6/29),无差异。
From 1989 to 1991, 59 patients with atelectasis were treated with Kamofsky grading from 20 to 30 minutes. Treatment is divided into 2 groups. In group A, there were 30 cases. The first was Ono’s exposure to 40Gy/3 to 4wk, 2.2 to 2.5Gy/f, and the latter to Ono 20 to 30Gy/2 to 3wk, 2Gy/f, and then Onoko added 10 to 20Gy. Group B first Dayeo 40Gy/4wk, 2Gy/f, rear contraction wild photo 20 ~ 30Gy/2 ~ 3wk, 2Gy/f. After 60-70 Gy of irradiation in both groups, the rate of pulmonary atelectasis was: 86.7% (26/30) in group A and 58.6 (17/29) in group B, P<0.05. After Karnofsky treatment, it increased to 60 points in group A, 66.7% (20/30), and group B, 27.6% (8/29), P<0.05. The 2-year survival rate was 23.3% (7/30) in group A and 20.7 in group B. % (6/29), no difference.