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3种方案同步放化疗治疗中晚期宫颈癌的疗效对比观察
引用本文:姜丽,郝权,王慧玉.3种方案同步放化疗治疗中晚期宫颈癌的疗效对比观察[J].实用妇产科杂志,2009,25(5).
作者姓名:姜丽  郝权  王慧玉
作者单位:天津医科大学附属天津肿瘤医院,天津,300060
摘    要:目的:探讨治疗中晚期宫颈癌同步放化疗的化疗方案选择.方法:96例中晚期宫颈癌患者同步放化疗随机分成顺铂组(30例)、多西紫杉醇组(34例)及顺铂联合多西紫杉醇组(32例),观察3组的治疗效果和副反应,并进行比较.结果:外照射结束时3组的有效率分别为96.67%、100%及100%,差异无统计学意义(P>0.05);顺铂组的4年生存率、局部复发率、远处转移率与另两组比较,差异有统计学意义(P<0.05);多西紫杉醇组与顺铂联合多西紫杉醇组差异无统计学意义(P>0.05);顺铂组及顺铂联合多西紫杉醇组有较明显的骨髓抑制和消化道反应,而且肾功损害明显,与多西紫杉醇组比较差异有统计学意义(P<0.05).结论:多西紫杉醇单药同步放化疗与顺铂单药及两药联合同步放化疗比较,能明显提高患者的生存率,降低局部复发率及远处转移率,同时副反应相对较轻.

关 键 词:中晚期宫颈癌  同步放化疗  顺铂  多西紫杉醇

Curative Effect of Three Chemotherapy Programs in Concurrent with Radiotherapy on Medium-and Advanced Stage Cervical Cancer
JIANG LI,HAO Quan,WANG Huiyu.Curative Effect of Three Chemotherapy Programs in Concurrent with Radiotherapy on Medium-and Advanced Stage Cervical Cancer[J].Journal of Practical Obstetrics and Gynecology,2009,25(5).
Authors:JIANG LI  HAO Quan  WANG Huiyu
Institution:Affiliated Tumor Hospital of the Tianjin Medical College;Tianjin 300060;China
Abstract:Objective:To investigate better chemotherapy method of concurrent chemotherapy and radiotherapy on medium-and advanced stage cervical cancer.Methods:The 96 cases with medium-and advanced stage cervical cancer treated by concurrent chetherapy and radiotherapy were randomized into three groups:Cisplatin group(30 cases),Docetaxel group(34 cases),and Cisplatin combined Docetaxel group(32 cases).The curative effective and side effect were observed and compared.Results:Effective rate was 96.67%,100%,and 100% in C...
Keywords:Medium-and advanced stage cervical cancer  Concurrent chemotherapy and radiotherapy  Cisplatin  Docetaxel  
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