首页|贝伐珠单抗联合紫杉醇和铂类化疗治疗晚期宫颈癌效果

贝伐珠单抗联合紫杉醇和铂类化疗治疗晚期宫颈癌效果

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目的:研究贝伐珠单抗联合紫杉醇和铂类化疗对晚期宫颈癌患者治疗效果.方法:选取本院2021年4月—2023年8月收治的晚期宫颈癌患者120例,分为观察组(60例)和对照组(60例).给予放疗后,对照组采用紫杉醇联合铂类药物化疗,观察组在对照组基础上增加贝伐珠单抗治疗.观察两组疼痛和生存状况、临床疗效、T淋巴细胞亚群、肿瘤标志物及不良反应状况.结果:观察组与对照组治疗后疼痛VAS评分(2.03±0.24分、3.16±0.33分)、血清糖链抗原 125(22.24±2.30 U/ml、31.46±3.04 U/ml)、癌胚抗原(2.11±0.22μg/L、3.67±0.30μg/L)、鳞状细胞癌抗原(4.01±0.39μg/L、6.21±0.51μg/L)、CD8+水平均较治疗前降低,卡氏生活质量评分(85.20±8.45 分、73.43±7.31分)、CD3+、CD4+水平及有效率(66.7%、40.0%)均较治疗前升高,且观察组变化幅度大于对照组(均P<0.05);两组不良反应(26.7%、20.0%)无差异(P>0.05).结论:贝伐珠单抗联合紫杉醇和铂类化疗对晚期宫颈癌有良好治疗效果,未增加不良反应发生.
Therapeutic effect of bevacizumab combined with paclitaxel and platinum chemotherapy for patients with advanced cervical cancer
Objective:To study the therapeutic effect of bevacizumab combined with paclitaxel and platinum chemother-apy for patients with on advanced cervical cancer.Methods:120 patients with advanced cervical cancer were selected and were divided into observation group(60 cases)and control group(60 cases)from April 2021 to August 2023.Af-ter receiving radiotherapy,the patients in the two groups received chemotherapy with paclitaxel combined with plati-num drugs,while the patients in the observation group received treatment of paclitaxel combined with platinum drugs and bevacizumab.The pain and survival status,the clinical efficacy,the T lymphocyte subsets and the tumor markers levels,and the adverse reactions situation of the patients in the two groups were observed.Results:The pain scores by VAS(2.03±0.24 points and 3.16±0.33 points),the serum carbohydrate antigen 125(CA125)level(22.24±2.30 U/ml and 31.46±3.04 U/ml),the carcinoembryonic antigen(CEA)level(2.11±0.22μg/L and 3.67±0.30μg/L),the squamous cell carcinoma antigen(SCCA)level(4.01±0.39μg/L and 6.21±0.51μg/L)and the CD8+level of the pa-tients in the two groups after treatment were significantly lower than those before treatment.The KPS quality of life score(85.20±8.45 points and 73.43±7.31 points),the CD3+and CD4+levels,and the effective rate(66.7%and 40.0%)of the patients in the two groups after treatment were significantly higher than those before treatment,and the changes of the patients in the observation group were significantly more than those of the patients in the control group(all P<0.05).There was no significant difference in the adverse reactions rate(26.7%vs 20.0%)of the patients be-tween the two groups(P>0.05).After treatment,the VAS score,and the serum CA125,CEA,SCCA,and CD8+levels of the patients in both groups were significantly reduced(P<0.05),and the reduction effect in the observation group was significantly better than that in the control group(P<0.05).The KPS score,the CD3+and CD4+levels,and the effective rate of the patients in the two groups had increased significantly(P<0.05),and which of the patients in the observation group were significantly better than the control group(P<0.05).There was no significant difference in the adverse reactions rate of the patients between the two groups(P>0.05).Conclusion:The combination chemo-therapy of bevacizumab,paclitaxel and platinum for treating the patients with advanced cervical cancer has good thera-peutic effect,and without increase of the adverse reactions.

Advanced cervical cancerChemotherapyPlatinumPaclitaxelBevacizumabCarbohydrate antigen 125Carcinoembryonic antigenSquamous cell carcinoma antigenTherapeutic effect

郭仁芬、柴芳、邢孔浪、莫翠婷

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海南省三亚市人民医院(572000)

海南省三亚市中心医院

晚期宫颈癌 化疗 铂类 紫杉醇 贝伐珠单抗 糖链抗原125 癌胚抗原 鳞状细胞癌抗原 疗效

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(3)
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