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多西他赛和顺铂联合同步放疗治疗中晚期贲门癌
引用本文:王培,曲智峰,徐志宾. 多西他赛和顺铂联合同步放疗治疗中晚期贲门癌[J]. 医药论坛杂志, 2010, 31(20)
作者姓名:王培  曲智峰  徐志宾
作者单位:河南科技大学第一附属医院,洛阳市,471003;河南科技大学第一附属医院,洛阳市,471003;河南科技大学第一附属医院,洛阳市,471003
基金项目:河南科技大学青年科研基金(编号2009QN0013)
摘    要:目的观察多西他赛联合顺铂同步放化疗治疗晚期贲门癌的疗效。方法将73例中晚期贲门癌患者随机分为两组,放化疗同步组32例采用2Gy/次,共60Gy/6周,同时以多西他赛120mg/d静脉滴注d1,顺铂30mg/d静脉滴注d2~4,每3周一周期方案连续化疗4周期。结果同步放化疗组和单纯放疗组CR分别为6.3%、0(χ2=1.354,P=0.245),两组PR分别为78.1%3、1.7%(χ2=44.721,P=0.000),同步放化疗不良反应发生率高于单纯放疗组,其中主要为Ⅱ度白细胞计数降低,发生率分别为43.8%、0(P<0.05),Ⅰ~Ⅱ度周围神经炎发生率分别为9.4%0、(P<0.05),经对症处理后患者均耐受良好。结论多西他赛联合顺铂同步放化疗治疗中晚期贲门癌是较单纯放疗疗效好、不良反应较轻的治疗方法,值得进一步研究,甚至临床推广。

关 键 词:放疗  同步  化疗  晚期贲门癌

Clinical Observation on Radiotherapy Combined with Synchronous Chemotherapy with Docetaxel and Cisplatin for Advanced Cardia Cancer
WANG Pei,QU Zhifeng,XU Zhibin The First Affiliated Hospital of Henan University of Science , Technology,Luoyang ,China. Clinical Observation on Radiotherapy Combined with Synchronous Chemotherapy with Docetaxel and Cisplatin for Advanced Cardia Cancer[J]. Journal of Medical Forum, 2010, 31(20)
Authors:WANG Pei  QU Zhifeng  XU Zhibin The First Affiliated Hospital of Henan University of Science    Technology  Luoyang   China
Affiliation:WANG Pei,QU Zhifeng,XU Zhibin The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471003,China
Abstract:Objective To observe the efficacy and adverse affects of radiotherapy combined with synchronous chemotherapy using Docetaxel and Cisplatin for advanced cardia cancer.Methods Divide all the patients with advanced cardia cancer into two groups,the patients in the treatment group 32 cases received the treatment of 6000cGy radiotherapy for 6 weeks and 4 cycles of synchronous chem-otherapy with Docetaxel 120mg(in the first day) and Cisplatin 30mg(in the day 2 to 4) in 21 days.The control group 41 cases were rece...
Keywords:Radiotherapy  Synchronous  Chemotherapy  Advanced cardia cancer  
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