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FA方案用于急性髓系白血病不同治疗阶段疗效分析
引用本文:欧阳凌云,刘晓力,杜庆锋,张钰,黄芬,张嵩,许娜,欧阳昭,孟凡义,周淑芸.FA方案用于急性髓系白血病不同治疗阶段疗效分析[J].中国肿瘤临床,2008,35(24):1385-1387.
作者姓名:欧阳凌云  刘晓力  杜庆锋  张钰  黄芬  张嵩  许娜  欧阳昭  孟凡义  周淑芸
作者单位:南方医科大学南方医院血液科,广州市,510515
基金项目:本文课题受广州市科技攻关计划一科技攻关引导项目资助  
摘    要:目的:评价氟达拉滨联合阿糖胞苷(FA)方案对急性髓系白血病(AML)不同治疗阶段的临床疗效。方法:根据应用FA方案治疗阶段将75例AML患者分为4组:①第1个疗程诱导化疗未缓解组21例;②2次及2次以上诱导治疗未缓解组21例;③早期复发组14例;④晚期复发组19例;其中后3组为难治复发性AML,比较不同组间疗效。结果:4组患者的完全缓解(CR)率分别为81.0%(17/21)、42.9%(9/21)、28.6%(4/14)及31.6%(6/19)。第1疗程诱导化疗未缓解组CR率明显高于复发难治性AML的CR率35.2%(19/54)(P=0.002)。Logistic回归分析结果显示既往化疗次数与CR率有显著相关性(P=0.027)。主要不良反应为骨髓抑制和继发感染。结论:对于第1个疗程化疗未缓解的AML患者,FA方案可作为一种有效的选择。

关 键 词:急性髓系白血病  氟达拉滨  阿糖胞苷

The Therapeutic Effect of Fludarabine and Cytarabine on Acute Myeloid Leukemia at Different Stages during Treatment
OU YANG Lingyun,LIU Xiaoli,DU Qingfeng,ZHANG Yu,HOANG Fen,ZHANG Song,XU Na,OU Yangzhao,MENG Fanyi,ZHOU Shuyun.The Therapeutic Effect of Fludarabine and Cytarabine on Acute Myeloid Leukemia at Different Stages during Treatment[J].Chinese Journal of Clinical Oncology,2008,35(24):1385-1387.
Authors:OU YANG Lingyun  LIU Xiaoli  DU Qingfeng  ZHANG Yu  HOANG Fen  ZHANG Song  XU Na  OU Yangzhao  MENG Fanyi  ZHOU Shuyun
Institution:OUYANG Lingyun,LIU Xiaoli,DU Qingfeng,ZHANG Yu,HUANG Fen,ZHANG Song,XU Na,OUYANGZhao,MENG Fanyi,ZHOU Shuyun Department of Hematology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China
Abstract:Objective:To evaluate the therapeutic effect of the fludarabine and cytarabine(FA)regimen on acutemyeloid leukemia(AML)at different phases during treatment.Methods:A total of 75 patients with AML were di-vided into 4 groups based on the outcome of previous treatments.Patients in Group 1 had no remission afterthe first course of induction chemotherapy(n=21).Patients in Group 2 had no remission after no less than twocourses of induction chemotherapy(n=21).Patients in Group 3 had early relapse(n=14).Patients i...
Keywords:Acute myeloid leukemia  Fludarabine  Cytarabine  
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