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局部晚期非小细胞肺癌适形调强放疗联合多西他赛同步化疗的临床观察
引用本文:邢晓波,张美莲,王宗站,周宓,杨金霞.局部晚期非小细胞肺癌适形调强放疗联合多西他赛同步化疗的临床观察[J].中华肿瘤防治杂志,2011,18(16):1280-1282.
作者姓名:邢晓波  张美莲  王宗站  周宓  杨金霞
作者单位:1. 青岛市肿瘤医院 放疗科,山东青岛,266042
2. 青岛市肿瘤医院检验科,山东青岛,266042
3. 青岛市肿瘤医院放疗科,山东青岛,266042
摘    要:目的:探讨适形调强放疗联合多西他赛对局部晚期非小细胞肺癌(NSCLC)的疗效及不良反应。方法:将65例NSCLC患者,随机分为A组(35例)和B组(30例)。A组35例,采用适形调强放疗联合多西他赛和顺铂同步化疗,放疗后再予以多西他赛及顺铂化疗2个周期;B组30例,采用适形调强放疗结束后,予以多西他赛和顺铂化疗4~6个周期。结果:A组和B组有效率(RR)分别为82.9%和60.0%,两组比较差异有统计学意义,P=0.04;A组1和2年生存率分别为77.1%和48.6%,B组1和2年生存率分别为73.3%和43.3%,两组差异无统计学意义,P=0.63;A组和B组白细胞降低发生率分别为77.1%和53.3%(P=0.123),放射性食管炎分别为65.7%和53.3%(P=0.582),放射性肺炎分别为45.7%和40.0%,P=0.898。结论:适形调强放疗联合多西他赛同步化疗在近期疗效上优于序贯化疗,在不良反应上无差别。

关 键 词:  非小细胞肺  适形调强放疗  同步放化疗  序贯放化疗

Intensity modulated radiation therapy combined with docetaxl chemotherapy for locally late stage non-small cell lung cancer
XING Xiao-bo,ZHANG Mei-lian,WANG Zong-zhan,ZHOU Mi,YANG Jin-xia.Intensity modulated radiation therapy combined with docetaxl chemotherapy for locally late stage non-small cell lung cancer[J].Chinese Journal of Cancer Prevention and Treatment,2011,18(16):1280-1282.
Authors:XING Xiao-bo  ZHANG Mei-lian  WANG Zong-zhan  ZHOU Mi  YANG Jin-xia
Institution:XING Xiao-bo,ZHANG Mei-lian,WANG Zong-zhan,ZHOU Mi,YANG Jin-xia Qingdao Tumor Hospital,Qingdao 266042,P.R.China
Abstract:OBJECTIVE: To evaluate the effect of intensity modulated radiation therapy(IMRT) combined with Docetaxl chemotherapy for locally late stage non-small cell lung cancer.METHODS:Totally 65 NSCLC patients were involved.Group A consisted of 35 patients,treated with IMRT combined Docetaxel and Cisplatin chemotherapy,and after radiation therapy,they received Docetaxel and Cisplatin chemotherapy for two therapy cycles.Group B consisted of 30 patients,receiving IMRT,then Docetaxel and Cisplatin chemotherapy for 4-6 ...
Keywords:carcinoma  non-small cell lung  IMRT  concurrent radiotherapy and chemotherapy  sequential radiotherapy and chemotherapy  
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