首页|奥拉帕利联合TP化疗治疗晚期卵巢癌患者的疗效及毒副反应分析

奥拉帕利联合TP化疗治疗晚期卵巢癌患者的疗效及毒副反应分析

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目的 探究奥拉帕利联合TP化疗治疗晚期卵巢癌(OC)患者的疗效及毒副反应.方法 以2021年5月-2022年5月成武县人民医院肿瘤内科收治的96例晚期OC患者为研究对象,采用随机数字表法分为对照组(48例)与观察组(48例).对照组选择TP化疗方案,观察组在其基础上联合奥拉帕利治疗,比较两组近期疗效、肿瘤标志物[人附睾蛋白4(HE4)、糖类抗原(CA125、CA199)]、毒副反应及复发情况(生化复发率、临床复发率).结果 观察组客观缓解率、疾病控制率均高于对照组(P<0.05);两组治疗后HE4、CA125、CA199水平低于治疗前,且观察组HE4、CA125、CA199水平低于对照组(P<0.05);观察组毒副反应发生率高于对照组(P<0.05).治疗后6个月,观察组生化复发率、临床复发率低于对照组(P<0.05).结论 奥拉帕利联合TP化疗治疗晚期OC效果确切,可提高其近期疗效,下调肿瘤标志物水平,降低复发风险,但毒副反应增多.
Analysis of the Efficacy and Toxicity of Olaparib Combined with TP Chemotherapy in the Treatment of Patients with Advanced Ovarian Cancer
Objective o investigate the efficacy and toxicity of olaparib combined with TP chemotherapy in the treatment of patients with advanced ovarian cancer(OC).Methods A total of 96 patients with advanced OC admitted to the Department of Oncology,Chengwu County People's Hospital from May 2021 to May 2022 were selected as the research objects.They were divided into control group(48 patients)and observation group(48 patients)by random number table method.The control group was treated with TP chemotherapy,and the observation group was treated with olaparib on the basis of TP chemotherapy.The short-term efficacy,tumor markers[human epididymis protein 4(HE4),carbohydrate antigen(CA125,CA199)],toxic and side effects and recurrence(biochemical recurrence rate,clinical recurrence rate)were compared between the two groups.Results The objective remission rate and disease control rate of the observation group were higher than those of the control group(P<0.05).After treatment,the levels of HE4,CA125 and CA199 in the two groups were lower than those before treatment,and the levels of HE4,CA125 and CA199 in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions in the observation group was higher than that in the control group(P<0.05).After 6 months of treatment,the biochemical recurrence rate and clinical recurrence rate in the observation group were lower than those in the control group(P<0.05).Conclusion Olaparib combined with TP chemotherapy is effective in the treatment of advanced OC,which can improve its short-term efficacy,down-regulate the level of tumor markers and reduce the risk of recurrence,but the toxicity are increased.

Ovarian cancerOlaparibTP chemotherapyRecent efficacyToxicityTumor markers

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成武县人民医院血液肿瘤内科,山东 成武 274200

卵巢癌 奥拉帕利 TP化疗 近期疗效 毒副反应 肿瘤标志物

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(8)
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