首页|替吉奥结合规范化辅助治疗在Ⅲ期结直肠癌患者临床治疗中的应用

替吉奥结合规范化辅助治疗在Ⅲ期结直肠癌患者临床治疗中的应用

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目的 探讨替吉奥药物化疗结合规范化辅助治疗在Ⅲ期结直肠癌患者临床治疗中的应用.方法 收集2013年1月~2015年12月于温州市中心医院治疗的60例结直肠癌患者的病历资料.将患者分为3组,未规范化辅助治疗组18例,规范化辅助治疗组15例以及替吉奥药物结合规范化辅助治疗组27例.记录并比较3组3年内的存活率,统计各组无病生存率(disease-free survival,DFS)和总生存率(overall survival rate,OS).根据治疗时长进行分组,使用奥沙利铂联合5-氟尿嘧啶和亚叶酸钙(FOLFOX方案)的治疗方案,分析并记录各组的OS和DFS.对未接受辅助治疗组的患者进行随访检查.再记录并比较分析各组的OS以及DFS.结果 替吉奥药物结合规范化辅助治疗组的DFS及OS均显著高于另外2组,差异具有统计学意义(P<0.05).此外,用FOLFOX方案治疗Ⅲ组患者的DFS及OS均显著高于Ⅰ组和Ⅱ组,差异具有统计学意义(P<0.05).在对3组患者的随访结果中,替吉奥药物结合规范化辅助治疗组患者的复发转移率和死亡率均低于规范化辅助治疗组和未规范化辅助治疗组,比较差异有统计学意义(P<0.05).结论 替吉奥结合规范化的辅助治疗可以显著提高结直肠癌患者的存活率和无病生存率;建议医师使用化疗药物结合规范化的辅助治疗,可以明显提高患者的生存期,降低疾病复发的风险率.
Clinical effect of application of tegafur combined with standardized adjuvant therapy in stage of Ⅲ carcinoma of colon and rectum
Objective To explore the clinical treatment of patients with stage Ⅲ carcinoma of colon and rectum by tegafur chemotherapeutic drugs combined with standardized adjuvant therapy. Methods The data of 60 cases of carcinoma of colon and rectum treated in Wenzhou Central hospital from January 2013 to December 2015 were collected. The patients were divided into three groups, non standardized adjuvant treatment group of 18 cases, standardized adjuvant treatment group of 15 cases and tegafur drug combined with standardized treatment group of 27 cases. Recorded and compared the survival rate of the three groups within three years, the statistics of each group of disease-free survival (DFS) and overall survival rate (OS). According to the duration of treatment group, the use of oxaliplatin combined with 5-fluorouracil and leucovorin (FOLFOX) treatment, analyzed and recorded OS and DFS. Follow-up examinations were performed in patients who did not receive adjuvant therapy. Recorded and compared the OS and DFS of each group. Results Tegafur drug combined with standardized treatment group DFS and OS were significantly higher than the other two groups, the difference was statistically significant (P<0.05). In addition, when treated with FOLFOX regimen, the DFS and OS of group Ⅲ were significantly higher than those of groupⅠand groupⅡ, the difference was statistically significant (P<0.05). In the follow-up survey of three groups, the rates of recurrence and death in patients treated with tegafur drug combined with standardized treatment group were significantly lower than those in the non standardized adjuvant treatment group and the standardized adjuvant treatment group. Conclusion Tegafur combined with adjuvant therapy can significantly improve the standardization of the rate of carcinoma of colon and rectum and the rate of disease-free survival, it is suggested that doctors use chemotherapy combined with auxiliary standardized therapy, can significantly improve the survival of patients, and reduce the risk of disease recurrence rate.

carcinoma of colon and rectumtegafurstandardized adjuvant therapydisease free survivaloverall survival rate

林文雪、赵挺、胡晓清、王昭君

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温州市中心医院 肿瘤外科,浙江 温州 325000

结直肠癌 替吉奥 规范化辅助治疗 无病生存率 总生存率

浙江省医药卫生一般研究项目

2013KYA023

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(1)
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