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草酸铂联合化疗方案治疗晚期胃癌的疗效分析
引用本文:周聆,潘慧君,李爱国,王玮. 草酸铂联合化疗方案治疗晚期胃癌的疗效分析[J]. 中国临床医学, 2011, 18(3): 349-350
作者姓名:周聆  潘慧君  李爱国  王玮
作者单位:上海市北医院肿瘤科,上海,200435
摘    要:目的:研究草酸铂联合HLF化疗方案(羟基喜树碱+甲酰四氢叶酸钙+5-氟尿嘧啶)治疗晚期胃癌的疗效及安全性。方法:对92例晚期胃癌患者采用草酸铂联合HLF方案进行全身化疗。结果:92例胃癌患者,化疗总有效率为55.43%。骨髓抑制发生率为77%,其中60%为Ⅰ~Ⅱ度,10.87%为Ⅳ度;胃肠道反应发生率为39.1%,33%为Ⅰ~Ⅱ度;肝功损害发生率为8.7%,均为Ⅰ度。神经感觉障碍发生率达81.52%,以I级为主。所有患者均未因不良反应中断或退出治疗。1、2、3年生存率分别为63.04%,43.48%及30.43%,中位生存期为11.43个月。结论:草酸铂联合HLF化疗方案方案治疗晚期胃癌的近期疗效肯定,不良反应较轻。

关 键 词:胃癌  化学治疗  草酸铂

Efficacy and Safety of Oxaliplatin Combined with HLF in the Treatment of Patients with Advanced Gastric Cancer
ZHOU Ling,PAN Huijun,LI Aiguo,WANG Wei. Efficacy and Safety of Oxaliplatin Combined with HLF in the Treatment of Patients with Advanced Gastric Cancer[J]. Chinese Journal Of Clinical Medicine, 2011, 18(3): 349-350
Authors:ZHOU Ling  PAN Huijun  LI Aiguo  WANG Wei
Affiliation:ZHOU Ling PAN Huijun LI Aiguo WANG Wei Department of Oncology,Shanghai Shibei Hospital,Shanghai 200435,China
Abstract:Objective:To evaluate the efficacy and safety of oxaliplatin combined with HLF(hydroxycamptothecin,leucovorin and 5-fluorouracil) in the treatment of patients with advanced gastric cancer.Methods:A total of 92 cases with advanced gastric cancer were received with oxaliplatin combined with HLF for systemic chemotherapy.Results:The response rate of 92 cases was 55.43%.As for the toxic and adverse reaction,the incidence of bone marrow suppression was 77%.Among them,60% were with degree I-II,while 10.87% were w...
Keywords:Gastric cancer  Chemotherapy  Oxaliplatin  
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