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目的探讨全脑放疗联合陀螺刀放射治疗脑转移瘤的效果。方法对照组46例行全脑放疗，观察组46例行全脑放疗联合陀螺刀放疗，分析比较两组疗效。结果对照组、观察组的症状缓解率分别为78.26%和95.65%﹙=0.020﹚，近期有效率分别为73.91%和93.48%﹙=0.023﹚，中位生存期分别为4、9个月(=0.000)。结论全脑放疗联合陀螺刀放疗治疗脑转移瘤疗效较好。“,”Objective To investigate the ef ect of whole-brain radiotherapy (WBRT)combined with gyro knife radiotherapy for brain metastases.Methods WBRT for 46 cases of the control group,WBRT combined with gyro knife radiotherapy for 46 cases of the observation group.Results The symptoms remission rate of the control group and observation group were 78.26%and 95.65%﹙ =0.020﹚.Recent ef icient rate were 73.91%and 93.48%﹙ =0.023﹚;The median survival time were 4 and 9 months,respectively( =0.000).Conclusion WBRT plus gyro knife radiotherapy is feasible in brain metastases.