首页|伊立替康、紫杉醇联合顺铂治疗对宫颈癌CYFRA21-1、VEGF-C及LC3-Ⅱ水平的影响

伊立替康、紫杉醇联合顺铂治疗对宫颈癌CYFRA21-1、VEGF-C及LC3-Ⅱ水平的影响

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目的:分析伊立替康、紫杉醇联合顺铂治疗对宫颈癌的治疗效果及对细胞角蛋白19片段抗原21-1(Cytokeratin 19 fragment 21-1,CYFRA21-1)、血管内皮生长因子C(Vascular endothelial growth factor C,VEGF-C)及微管相关蛋白1轻链3-Ⅱ(Microtubule-associated protein 1 light chain 3,LC3-Ⅱ)水平的影响.方法:回顾性分析本院2020年 3 月至 2023 年 4 月收治的 122 例宫颈癌患者的临床资料,根据治疗方案不同将患者分为IP组(伊立替康+顺铂治疗,60例)和TP组(紫杉醇+顺铂治疗,62例).分析对比两组的临床疗效、CYFRA21-1、VEGF-C及LC3-Ⅱ水平以及毒副反应.结果:IP组与TP组总疗效率分别为56.67%、79.03%,TP组总疗效率显著高于IP组(P<0.05).两组治疗后的CYFRA21-1、VEGF-C及LC3-Ⅱ水平均显著下降,且TP组CYFRA21-1、VEGF-C及LC3-Ⅱ水平均显著低于IP组(P<0.05).TP组 0 度、Ⅰ度例数占比显著高于IP组,Ⅲ度例数占比显著低于IP组(P<0.05).结论:与伊立替康联合顺铂比较,紫杉醇联合顺铂治疗宫颈癌临床疗效更为理想,可有效降低CYFRA21-1、VEGF-C及LC3-Ⅱ水平,且安全性高.
Effect of irinotecan,paclitaxel combined with cisplatin on levels of CYFRA21-1,VEGF-C and LC3-Ⅱ in cervical cancer
Objective:To analyze the therapeutic effect of irinotecan,paclitaxel combined with cisplatin on cervical cancer and its effect on Cytokeratin 19 fragment 21-1,CYFRA21-1),Vascular endothelial growth factor C(Vascular endothelial growth factor C,Effects of VEGF-C and Microtubule-associated protein 1 light chain 3(LC3-Ⅱ)levels.Methods:The clinical data of 122 patients with cervical cancer admitted to our hospital from March 2020 to April 2023 were retrospectively analyzed,and the patients were divided into IP group(irinotecan + cisplatin treatment,60 cases)and TP group(paclitaxel + cisplatin treatment,62 cases)according to different treatment regimen.The clinical efficacy,levels of CYFRA21-1,VEGF-C,LC3-Ⅱ and toxicity of the two groups were analyzed and compared.Results:The total curative effect rate of IP group and TP group was 56.67%and 79.03%,respectively.The total curative effect rate of TP group was significantly higher than that of IP group(P<0.05).After treatment,the levels of CYFRA21-1,VEGF-C and LC3-Ⅱ in both groups were significantly decreased,and the levels of CYFRA21-1,VEGF-C and LC3-Ⅱ in TP group were significantly lower than those in IP group(P<0.05).The proportion of 0 degree and Ⅰ degree cases in TP group was significantly higher than that in IP group,and the proportion of Ⅲ degree cases was significantly lower than that in IP group(P<0.05).Conclusion:Compared with irinotec combined with cisplatin,paclitaxel combined with cisplatin has better clinical efficacy in the treatment of cervical cancer,and can effectively reduce the levels of CYFRA21-1,VEGF-C and LC3-Ⅱ,with high safety.

irinotecanPaclitaxelCisplatinCervical cancerCYFRA21-1VEGF-CLC3-Ⅱ

邹科、朱庆博、刘艳

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南阳市中心医院妇科,河南 南阳 473000

南阳市中心医院医务科,河南南阳 473000

伊立替康 紫杉醇 顺铂 宫颈癌 CYFRA21-1 VEGF-C LC3-Ⅱ

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(3)
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