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大剂量醛氢叶酸和5-氟脲嘧啶顺铂联合治疗晚期及初治失败食管癌
引用本文:路平 董兵超. 大剂量醛氢叶酸和5-氟脲嘧啶顺铂联合治疗晚期及初治失败食管癌[J]. 新乡医学院学报, 1998, 15(3): 249-250
作者姓名:路平 董兵超
作者单位:新乡医学院一附院,新乡医学院物理教研室,新乡电厂职工医院
摘    要:目的探讨大剂量醛氢叶酸和5-氟脲嘧啶、顺铂治疗晚期及初治失败食管癌的近期疗效。方法42例晚期及化疗、放疗失败的复治食管癌患者均使用大剂量醛氢叶酸及5-氟脲嘧啶、顺铂方案化疗。结果该治疗组42例中:完全缓解6例,部分缓解24例,总有效率71.4%。结论5-氟脲嘧啶及大剂量醛氢叶酸、顺铂治疗晚期食管癌(包括初治失败者),均有效。部分病人对5-氟脲嘧啶加顺铂方案抗药时,本方案仍有效。毒副作用增加,但多限于Ⅰ-Ⅱ度。

关 键 词:食管癌;化疗;醛氢叶酸

Observation of therapeutic effectiveness of high-dose leucovorin 5-fluorouracil, diaminodichloride for advanced and the first-treatment failed esophageal carcinoma
Affiliation:Oncology department of Xinxiang Medical College
Abstract:Objecktive To investigate the chemotherapeutic effect with high-dose leucovorin , 5-fluorouracil, diaminodichloride on the advanced and the first-treatment-failed esophageal carcinoma.Method Forty-two cases of advanced stage and the chemotherapy radiotherapy failed esophageal carcinoma were all treated with high-dose leucovorin plus 5-fluorouracil plus diaminodichloride plan. Results In treatment group 42 cases,complete remission 6 cases ,part remission 24 cases ,the all effective rate was 71.4% .Conclusion 5-fluorouracil plus leucovorin and diaminodichloride plan for advanced (including failure of the first -treatment) esophageal carcinoma is effective,and this regime is still effective for some patients with no response to 5-fluorouracil and diaminodichloride.Although the side-effect was also enhanced at the same time,the most of them were limited to Ⅰ-Ⅱgrade.
Keywords:esophageal carcinoma  chemotherapy  leucovorin
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