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尼妥珠单抗联合IMRT治疗老年局部晚期食管癌患者的疗效观察
引用本文:李路路,陈 剑,张鼎儒,郭宇飞.尼妥珠单抗联合IMRT治疗老年局部晚期食管癌患者的疗效观察[J].现代肿瘤医学,2020,0(8):1298-1300.
作者姓名:李路路  陈 剑  张鼎儒  郭宇飞
作者单位:1.深圳市盐田区人民医院肿瘤科,广东 深圳 518081;2.焦作市第二人民医院放疗科,河南 焦作 454001
摘    要:目的:探讨尼妥珠单抗联合适型调强放射治疗(IMRT)在局部晚期老年食管癌患者中的疗效和安全性。方法:67例老年局部晚期食管癌患者随机分为试验组和对照组,试验组34例予尼妥珠单抗联合IMRT治疗,对照组33例只行IMRT治疗。结果:试验组与对照组的近期有效率(RR)分别为85.2%和63.6%,疾病控制率(DCR)分别为97.1%和81.8%,差异均有统计学意义(P<0.05);1、2、3年生存率虽然试验组较对照组有提高,但差异无统计学意义(P>0.05);2组不良反应相似,差异无统计学意义(P>0.05)。结论:尼妥珠单抗联合IMRT可以明显提高局部晚期老年食管癌患者的RR和DCR,但未明显提高患者的1、2、3年生存率。

关 键 词:尼妥珠单抗  局部晚食管癌  老年患者  适型调强放射治疗

The efficacy and safety of nimotuzumab combined with IMRT in locally advanced esophageal carcinoma of elderly patients
Li Lulu,Chen Jian,Zhang Dingru,Guo Yufei.The efficacy and safety of nimotuzumab combined with IMRT in locally advanced esophageal carcinoma of elderly patients[J].Journal of Modern Oncology,2020,0(8):1298-1300.
Authors:Li Lulu  Chen Jian  Zhang Dingru  Guo Yufei
Affiliation:1.Department of Oncology,the People's Hospital of Yantian District in Shenzhen,Guangdong Shenzhen 518081,China;2.Department of Rediation Oncology,the Second People's Hospital of Jiaozuo,Henan Jiaozuo 454001,China.
Abstract:Objective:To evaluate the efficacy and safety of nimotuzumab combined with concurrent intensity-modulated radiotherapy(IMRT) for elderly patients with locally advanced esophageal carcinoma.Methods:Sixty-seven elderly patients with esophageal carcinoma randomly divided into the experimental group(34 patients) and the control group(33 patients).Thirty-four patients of the trial group received nimotuzumab combined with IMRT.Thirty-three patients of the control group received only IMRT.Results:The resent response rate(RR) of the experimental group and control group were 85.2% and 63.6%,and the disease control rate(DCR) were 97.1% and 81.8%,respectively(P<0.05).The 1-,2-,3-survival rate of the experimental group were improved to some degree,but the result don' t have difference(P>0.05).The adverse effects of the two group had similarity(P>0.05).Conclusion:Nimotuzumab combined with IMRT could increase RR and DCR in the elderly patients with locally advance esophageal carcinoma,but it couldn't significantly improve the 1-,2-,3-survival rate.
Keywords:nimotuzumab  locally advanced esophageal carcinoma  elderly patients  intensity-modulated radiotherapy
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