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FOLFOX4和XELOX一线方案治疗晚期结直肠癌的疗效分析
引用本文:盛莉莉,朱益平,吉兆宁.FOLFOX4和XELOX一线方案治疗晚期结直肠癌的疗效分析[J].皖南医学院学报,2011,30(6):464-467.
作者姓名:盛莉莉  朱益平  吉兆宁
作者单位:皖南医学院附属弋矶山医院肿瘤内科,安徽芜湖24100l
摘    要:目的:比较FOLFOX4与XELOX方案治疗晚期结直肠癌的近期疗效及安全性。方法:收集62例晚期初治结直肠癌患者,采用FOLFOX4方案治疗32例,采用XELOX方案治疗30例。结果:FOLFOX4组有效率50%,XELOX组有效率46.7%,两组中位疾病进展时间(MTTP)分别为6.5个月和6.0个月,P〉0.05,两组无统计学意义。XELOX组Ⅲ~Ⅳ级中性粒细胞减少率和神经毒性发生率分别为3.3%和6.7%,明显低于FOIFOX4组的9.4%和18.8%(P〈0.05);XELOX组手足综合征发生率为13.3%,高于FOL-FOX4组的3.1%(P〈0.05),但程度较轻,主要为Ⅰ~Ⅱ度。结论:XELOX方案与FOLFOX4方案的疗效相近,毒副反应均可耐受,但XELOX方案组患者依从性较好。

关 键 词:结直肠癌  FOLFOX4方案  XELOX方案

Therapeutic outcomes of FOLFOX4 regimen versus XELOX regimen for advanced colorectal cancer
SHENG Li-li,ZHU Yi-ping,JI Zhao-ning.Therapeutic outcomes of FOLFOX4 regimen versus XELOX regimen for advanced colorectal cancer[J].Acta Academiae Medicinae Wannan,2011,30(6):464-467.
Authors:SHENG Li-li  ZHU Yi-ping  JI Zhao-ning
Institution:SHENG Li-li,ZHU Yi-ping,JI Zhao-ning Department of Oncology,Yijishan Hospital,Wanan Medical College,Wuhu 241001,Chin
Abstract:Objective:To compare the short-term therapeutic effect and adverse reactions between oxaliplatin plus fluorouracil and calcium folinate(FOLFOX4 regimen) and combined oxaliplatin with capecitabine(XELOX regimen) in treatment of advanced colorectal cancer.Methods:Sixty-two patients with advanced gastric cancer were allocated two groups.One group(n=32) received FOLFOX4 regimen as first-line chemotherapy and another(n=30) were given XELOX regimen.Results:The overall response rate(CR+PR) was 50%(FOLFOX4) vs 46.7...
Keywords:colorectal cancer  FOLFOX4 regimen  XELOX regimen  
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