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吉西他滨或多西他赛联合铂类对晚期肺鳞癌的疗效评价
引用本文:胡琴,韦永明,王可武,王银华,宛新安.吉西他滨或多西他赛联合铂类对晚期肺鳞癌的疗效评价[J].安徽医药,2014,0(6):1146-1148.
作者姓名:胡琴  韦永明  王可武  王银华  宛新安
作者单位:安徽省芜湖市第二人民医院肿瘤科,安徽 芜湖,241000;安徽省芜湖市第二人民医院肿瘤科,安徽 芜湖,241000;安徽省芜湖市第二人民医院肿瘤科,安徽 芜湖,241000;安徽省芜湖市第二人民医院肿瘤科,安徽 芜湖,241000;安徽省芜湖市第二人民医院肿瘤科,安徽 芜湖,241000
摘    要:目的观察吉西他滨联合铂类(GP组)和多西他赛联合铂类(DP组)化疗对晚期肺鳞癌的疗效差异。方法 54例肺鳞癌患者分别采用吉西他滨联合铂类、多西他赛联合铂类化疗,每2个周期通过胸部CT评价疗效。结果 GP组和DP组中位生存期分别为11.8月和9.7月,1年生存率分别为48%和20.6%,差异有统计学意义(P<0.05);临床有效率分别为36%和34.4%,临床获益率分别为84%和79.3%,GP方案稍高,差异无统计学意义(P>0.05)。结论两组治疗晚期肺鳞癌疗效相当,但GP方案组表现更好的生存优势。

关 键 词:吉西他滨  多西他赛  顺铂/卡铂  肺鳞癌

Gemcitabine or docetaxel combined with platinum efficacy for advanced lung squamous cell carcinoma
Institution:HU Qin, WEI Yong-ming, WANG Ke-wu, et al ( Department of Oncology, Wuhu Second People' s Hospital, Wuhu,Anhui 241000, China )
Abstract:Objective To observe the curative etTect of gemcitabine combined with platinum ( GP group) and docetaxel combined with platinum ( DP group) chemotherapy for patients with advanced hmg squamous cell carcinoma. Methods fifty-four cases of squamous cell carcinoma were treated by gemeitabine combined with platinum,or docetaxel combined with platinum chemotherapy. Clinical evaluation was conducted by chest CT every 2 cycles. Results In GP group and DP group,the median survival periods and 1-year survival rates were 11. 8 months vs 9.7 months,48% vs 20.6% , respectively with statistically significant difference ( P 〈 0. 05) ; the clinical effective rates and clinical benefit rates were 36% vs 34.4% ,84% vs 79.3% , respectively. The GP scheme was slightly higher, yet there was no statistically significant difference ( P 〉 0.05 ). Conclusions Similar curative effect of advanced lung squamous cell carcinoma treatment is achieved in both groups,but the GP group performs better survival advantage.
Keywords:gemcitabine  doeetaxel  cisplatin/carboplatin  squamous cell carcinoma of the lung
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