首页|奥拉帕利在晚期卵巢癌患者维持治疗过程中的作用及对血清肿瘤标志物的影响

奥拉帕利在晚期卵巢癌患者维持治疗过程中的作用及对血清肿瘤标志物的影响

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目的 探讨奥拉帕利在晚期卵巢癌患者维持治疗过程中的作用及对血清肿瘤标志物的影响。方法 回顾性分析青岛市市立医院2019年1月至2020年1月接受治疗的晚期卵巢癌68例患者的临床资料,按照治疗方式不同,分为观察组32例、对照组36例。对照组采用贝伐珠单抗维持治疗,观察组在对照组基础上,联合奥拉帕利维持治疗,均持续治疗12个周期。比较两组治疗前后糖类抗原(CA)125、CA199、人附睾蛋白4(HE4)、甲胎蛋白(AFP)、T淋巴细胞亚群CD3+、CD4+、CD4+/CD8+的变化,并比较预后情况及不良反应发生率。结果 观察组CA125、CA199、HE4、AFP均低于对照组,差异均有统计学意义(P<0。05);观察组CD3+、CD4+、CD4+/CD8+均高于对照组,差异均有统计学意义(P<0。05);随访至2022年12月,观察组无进展生存期(PFS)明显长于对照组,差异有统计学意义(P<0。05);观察组血液疾病发生率明显高于对照组,差异有统计学意义(P<0。05)。结论 奥拉帕利在晚期卵巢癌患者维持治疗过程中的作用明显,可降低血清肿瘤标志物水平,延长患者PFS,值得临床推广。
Effect of olapalil on maintenance therapy and serum tumor markers in patients with advanced ovarian cancer
Objective To explore the effect of Olapalil on maintenance therapy and serum tumor markers in patients with advanced ovarian cancer.Methods The clinical data of 68 patients with advanced ovarian cancer who received treatment in our hospital from January 2019 to January 2020 were retrospectively analyzed,according to different treatment methods,they were divided into observation group(32 cases)and control group(36 cases).The control group was treated with bevacizumab maintenance therapy,and the observation group was treated with olapalil maintenance therapy on the basis of the control group,the treatment lasted for 12 cycles.The changes of carbohydrate antigen(CA)125,CA199,human epididymal protein 4(HE4),alpha-fetoprotein(AFP),T lymphocyte subsets CD3+,CD4+,CD4+/CD8+before and after treatment were compared between the two groups,and the prognosis and incidence of adverse reactions were compared.Results The CA125,CA199,HE4 and APF in the observation group were lower than the control group,with statistical significance(P<0.05);the CD3+,CD4+,CD4+/CD8+in the observation group were higher than the control group,with statistical significance(P<0.05);Follow-up to December 2022,the progression-free survival(PFS)of the observation group was significantly longer than that of the control group,with statistical significance(P<0.05);The incidence of blood diseases in the observation group was significantly higher than the control group,with statistical significance(P<0.05).Conclusion Olaparil plays an obvious role in the maintenance treatment of advanced ovarian cancer patients,which can reduce the level of serum tumor markers and prolong the PFS,and is worthy of clinical promotion.

ovarian cancermaintenance therapyorapalibevacizumabtumor markersprogression free survival

侯萍、韩宇飞、高霞

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青岛市市立医院,山东青岛 266000

卵巢癌 维持治疗 奥拉帕利 贝伐珠单抗 肿瘤标志物 无进展生存期

山东省医学会临床科研资金齐鲁专项(2021)

YXH2022X02155

2024

中国妇产科临床杂志
北京大学

中国妇产科临床杂志

CSTPCD北大核心
影响因子:1.095
ISSN:1672-1861
年,卷(期):2024.25(3)
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