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开普拓、5-氟尿嘧啶、亚叶酸钙时辰化疗治疗大肠癌肝转移的临床观察
引用本文:侯冰宗,周少朋,房思炼,李霄凌,莫湘琼.开普拓、5-氟尿嘧啶、亚叶酸钙时辰化疗治疗大肠癌肝转移的临床观察[J].中华普通外科学文献(电子版),2008,2(4):29-31.
作者姓名:侯冰宗  周少朋  房思炼  李霄凌  莫湘琼
作者单位:中山大学附属第五医院胃肠外科,珠海,519000
摘    要:目的观察开普拓、5-氟尿嘧啶、亚叶酸钙时辰化疗治疗大肠癌肝转移临床疗效及毒副作用。方法大肠癌手术后肝转移患者28例,随机分为A、B两组进行化疗,方案为:开普拓、5-氟尿嘧啶、亚叶酸钙,A组按时辰给药法治疗,B组按常规给药法治疗,按WHO标准观察两组患者的近期疗效及不良反应。结果衄有效率(CR+PR)为78.5%,B组为35.7%,A组与B组相比较差异有显著性意义(P〈0.01),A组对化疗药物的毒副反应均较B组轻,A、B两组Ⅲ/Ⅳ度中性粒细胞减少、腹泻、脱发的发生率相比较差异均有显著性意义(P〈0.05)。结论开普拓、5-氟尿嘧啶、亚叶酸钙时辰化疗作为一种新的给药方式进行大肠癌肝转移化疗,具有较好的临床疗效及较低的毒副反应。

关 键 词:开普拓  时辰化疗  大肠癌肝转移

Clinical study on chronomodulated chemotherapy of irinotecan combined with 5-FU and CF on colorectal carcinoma patients with hepatic metastasis
HOU Bing-zong,ZHOU Shao-peng,FANG Si-lian,LI Xiao-ling,MO Xiang-qong.Clinical study on chronomodulated chemotherapy of irinotecan combined with 5-FU and CF on colorectal carcinoma patients with hepatic metastasis[J].Chinese Journal of General Surgery(Electronic Version),2008,2(4):29-31.
Authors:HOU Bing-zong  ZHOU Shao-peng  FANG Si-lian  LI Xiao-ling  MO Xiang-qong
Institution:HOU Bing-zong, ZH OU Shao-peng, FANG Si-lian, LI Xiao-ling, MO Xiang-qong. (The Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000 ,China)
Abstract:Objective To evaluate the clinical efficacy and the adverse drug reactions of chronomodulated chemotherapy of irinotecan(CPT-11) combined with 5-fluorouracil(5-FU) and calcium folinate(CF) on colorectal carcinoma patients with hepatic metastasis.Methods 28 colorectal carcinoma patients with hepatic metastasis were divided into group A and B.group A were employed the chronomodulated chemotherapy of CPT-11 combined with 5-FU and CF procedure,while group B used the CPT-11combined with 5-FU and CF rountinly.The...
Keywords:Irinotecan  Chronomodulated chemotherapy  Colorectal carcinoma with hepatic metastasis  
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