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口腔鳞癌卡铂,平阳霉素,氨甲喋呤术前诱导化疗的临床研究
引用本文:郅克谦,李亚军,张密荣,任文豪,荔鹏,李心强.口腔鳞癌卡铂,平阳霉素,氨甲喋呤术前诱导化疗的临床研究[J].陕西肿瘤医学,2010,18(4):685-687.
作者姓名:郅克谦  李亚军  张密荣  任文豪  荔鹏  李心强
作者单位:[1]西安交通大学医学院附属口腔医院口腔颌面外科,陕西西安710004 [2]陕西省米脂县医院口腔科,陕西米脂718100 [3]陕西省泾阳县医院口腔科,陕西泾阳713700
基金项目:陕西省社发攻关项目(2009K17-03); 西安市科技计划项目(SF09030-4); 西安交通大学口腔医院教改项目(2008JX-5 2009JX-10)
摘    要:目的:探讨卡铂,平阳霉素,氨甲喋呤术前诱导化疗对口腔鳞癌的临床效应。方法:45例32-72岁的口腔鳞癌患者,采用卡铂,平阳霉素,氨甲喋呤术前诱导化疗1个周期,化疗后3-5天,对常规检查正常者再进行手术治疗,对其近期疗效进行评价,随访3-5年。结果:诱导化疗后80%的患者肿瘤缩小50%以上,39例手术患者近期疗效评价中,完全缓解1例,部分缓解14例,无效16例;术后3、5年生存率分别为71.2%、66.7%。结论:卡铂,平阳霉素,氨甲喋呤用于口腔鳞癌术前诱导化疗,具有较满意的临床效果,与相应的手术相结合可以提高患者远期生存率。

关 键 词:口腔鳞癌  术前诱导化疗  临床研究

Induction chemotherapy of combined carboplatin,pingyangmy and methotrexate for oral squamous cell carcinoma
ZHI Ke-qian,LI Ya-jun,ZHANG Mi-rong,REN Wen-hao,LI Peng,LI Xin-qiang.Induction chemotherapy of combined carboplatin,pingyangmy and methotrexate for oral squamous cell carcinoma[J].Shaanxi Oncology Medicine,2010,18(4):685-687.
Authors:ZHI Ke-qian  LI Ya-jun  ZHANG Mi-rong  REN Wen-hao  LI Peng  LI Xin-qiang
Institution:1.Department of Oral and Maxillofacial Surgery,Stomotological Hospital,Medical School of Xi'an Jiaotong University,Xi'an 710004,China;2.Department of Stomatology,Mizhi County Hospital in Shaanxi Province,Mizhi 718100,China;3.Department of Stomatology,Jingyang County Hospital in Shaanxi Province,Jingyang 713700,China.)
Abstract:Objective:To investigate the clinical effects of combined Carboplatin,Pingyangmy and Methotrexate preoperative induction chemotherapy for oral squamous cell carcinoma.Methods: Forty-five cases of 32-72 year-old patients with oral squamous cell carcinoma were treated with preoperative combined chemotherapy lasted for one course,after a lapse of 3-5 days,surgical operations were performed for patients with normal routine examinations.Short-term curative effects were assessed,and 3,5-year survival rates were followed up.Results: Complete and partial response rate was 80%.One case showed totally relief;partially relief in 14 cases,16 cases invalid,the 3,5-year survival rates after operation were 71.2% and 66.7%,respectively.Conclusion: The combination of Carboplatin,Pingyangmy and Methotrexate induction chemotherapy possesses considerable satisfactory clinical effects,if followed by surgical intervention,it will improve the long-term survival rate.
Keywords:oral squamous cell carcinoma  preoperative inductive chemotherapy  clinical study
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