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不同剂量伊马替尼治疗进展期胃肠间质瘤的疗效分析
引用本文:刘小虎,王亚旭,龙腾,晏佳,毕德利,马东华. 不同剂量伊马替尼治疗进展期胃肠间质瘤的疗效分析[J]. 现代医药卫生, 2011, 27(15): 2248-2250
作者姓名:刘小虎  王亚旭  龙腾  晏佳  毕德利  马东华
作者单位:重庆医科大学附属第二医院普外科,重庆,400010
摘    要:目的:探讨伊马替尼治疗进展期胃肠间质瘤(gastrointestinal stromal tumor,GIST)和外显子11及9突变病人对高剂量伊马替尼的疗效.方法:计算机检索PubMed、ISC Proceedings、ScienceDirect数据库、OVID数据库等,应用RevMan 5.0.18软件进行Meta分析.结果:共纳入5篇文献,合计2729例病人,各试验间具有基线可比性.Meta分析结果示:高剂量组800mg/d与标准剂量组400 mg/d相比,并不能明显提高患者总生存率;高剂量组800 mg/d对外显子9突变病人与外显子11突变病人相比可显著提高其总生存率(P<0.0001).结论:对于进展期GIST病人,伊马替尼标准治疗剂量为400mg/d,但对于外显子9突变病人推荐使用高剂量伊马替尼800mg/d.

关 键 词:胃肠道间质瘤  伊马替尼  Meta-分析

Efficacy analysis on different doses of imatinib for treating advanced GIST
LIU Xiao-hu , WANG Ya-xu , LONG Teng , YAN Jia , BI De-li , MA Dong-hua. Efficacy analysis on different doses of imatinib for treating advanced GIST[J]. JOURNAL OF MODERN MEDICINE & HEALTH, 2011, 27(15): 2248-2250
Authors:LIU Xiao-hu    WANG Ya-xu    LONG Teng    YAN Jia    BI De-li    MA Dong-hua
Affiliation:LIU Xiao-hu,WANG Ya-xu,LONG Teng,YAN Jia,BI De-li,MA Dong-hua(Department of General Surgery,Second Affiliated Hospital,Chongqing Medical University,Chongqing 400010,China)
Abstract:Objective:To discuss the efficacy of two different doses of imatinib,400 mg/d and 800 mg/d,for treating advanced GIST and to investigate the curative efficacy of high dose imatinib on the mutation patients with exon 11 and exon 9.Methods:We searched the electronic databases including PubMed,ISC Proceedings,ScienceDirect and OVID.The Cochrane collaboration's RevMan 5.0.18 software was used for statistical analysis.Results:5 articles were included,total 2 729 patients.The methodological quality of the include...
Keywords:Gastrointestinal stromal tumors  Imatinib mesylate  Meta-analysis  
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