首页|周低剂量紫杉醇联合钴60放疗治疗中晚期食管癌临床观察

周低剂量紫杉醇联合钴60放疗治疗中晚期食管癌临床观察

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目的:观察周低剂量紫杉醇联合钴60放疗治疗中晚期食管癌患者的疗效及毒副反应。方法:将60例中晚期食管癌患者随机分为两组,放化组(钴60放疗+紫杉醇)30例,单放组(单纯钴60放疗)30例。两组均采用钴60外照射治疗,总剂量60~63Gy,6~6.3周完成;放化组采用每周低剂量紫杉醇联合钴60放疗,紫杉醇60mg/㎡,连用6周。结果:放化组和单放组完全缓解(CR)、部分缓解(PR)、稳定(SD)、进展(PD)百分比分别为56.25%34.38%6.25%3.13%和38.71%25.81%19.35%16.13%,两组比较差异均有统计学意义(P〈0.05)。放化组的血液学毒性、胃肠道反应发生率较单放组稍高,但患者能耐受。结论:每周低剂量紫杉醇联合钴60放疗治疗中晚期食管癌可明显提高疗效,毒副反应虽有所增大,但患者能耐受,不影响治疗正常进行,且治疗结束,随诊1月毒副反应均有大部改善。
Low doses of paclitaxel plus weeks cobalt 60 radiation treatment of patients with clinical observation
to observe the week low doses of paclitaxel plus cobalt 60 radiation treatment of patients with curative effect and adverse reaction of patients.Methods:patients were randomly divided into two groups, 60 cases of patients with (cobalt 60 radiotherapy plus paclitaxel) put the group 30 cases, single put group 30 cases (pure cobalt 60 radiation). Two groups al use cobalt 60 external irradiation treatment, the total dose of 60 ~ 63 gy, 6 ~ 6.3 weeks to complete; Put the group with low doses of paclitaxel combined radiotherapy cobalt 60 per week, paclitaxel 60 mg /㎡, for six weeks. Results: the group and single set of CR (complete response), PR (partial response), SD (stability), PD (progress) percentage was 56.25% 56.25% 25.81% 19.35% 16.13% 6.25% 6.25% and 3.13%, two groups of comparative differences are statisticaly significant (P < 0.05). Put a group of hematology toxicity, radioactive esophagitis, the incidence of gastrointestinal reaction is put group is a bit high, but the patients tolerated.Conclusion: low dose weekly paclitaxel plus radiation therapy can obviously improve the curative effect of treatment of patients with cobalt 60, adverse reaction is increased, but the patients tolerated, does not affect the normal treatment, and the end of treatment, folow-up 1 month toxic and side reaction were much improved.

taxolCobalt 60 radiationPatients with

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河南省荣军医院肿瘤科 河南 新乡 453003

紫杉醇 钴60放疗 中晚期食管癌

2014

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2014.(7)
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