首页|CT引导下微波消融联合吉西他滨与顺铂方案化疗治疗中晚期肺鳞癌临床观察

CT引导下微波消融联合吉西他滨与顺铂方案化疗治疗中晚期肺鳞癌临床观察

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目的 探讨吉西他滨与顺铂化疗方案联合CT引导下微波消融应用于中晚期肺鳞癌治疗的临床疗效.方法 选取2013年3月~2015年6月76例杭州市肿瘤医院收治的中晚期肺鳞癌患者为研究对象,随机分为治疗组与对照组,各38例.对照组患者给予吉西他滨与顺铂化疗方案治疗,治疗组患者在对照组的基础上联合CT引导下微波消融治疗,治疗结束后对两组患者的近期疗效进行评价,观察两组患者不良反应发生情况,并进行1~2年的随访.结果 治疗组患者的总有效率显著高于对照组(P<0.05);治疗组患者微波消融术后出现气胸2例,咯血3例,发热2例,在对症处理后恢复.2组因化疗引发的不良反应发生率对比差异无统计学意义;治疗组患者的PFS显著较对照组延长,1年生存率及2年生存率显著高于对照组(P<0.05).结论 吉西他滨与顺铂化疗方案联合CT引导下微波消融应用于中晚期肺鳞癌治疗的临床疗效显著,值得临床推广.
CT guided microwave ablation combined with gemcitabine and cisplatin regimen for the treatment of advanced squamous cell carcinoma of the lung
Objective To investigate the clinical efficacy of gemcitabine and cisplatin chemotherapy combined with CT guided microwave ablation used in treatment of advanced squamous cell lung cancer. Methods 76 patients with lung squamous carcinoma in our hospital from April 2013 to July 2015 were selected,and randomly divided into treatment group and control group,38 cases in each groups. The control group were treated with gemcitabine and cisplatin chemotherapy. The patients in the treatment group in the control group based on the combined CT guided ablation under microwave, after the end of treatment to evaluate the efficacy of the two groups of patients, observe two groups of patients with adverse reactions, and were followed up for 1-2 years. Results The total effective rate of treatment group was significantly higher than the control group (P<0.05); pneumothorax treatment group after microwave ablation in patients with 2 cases, 3 cases of hemoptysis, 2 cases of fever, recovered after symptomatic treatment. The adverse reactions of the two groups due to chemotherapy caused by comparison of the rate of no significant difference; the treatment group of patients with PFS was significantly longer than the control group, the 1 year survival rate and 2 year survival rate was significantly higher than the control group(P<0.05). Conclusion Gemcitabine combined with cisplatin chemotherapy regimen combined with CT guided microwave ablation is effective in the treatment of advanced squamous cell lung cancer, and is worthy of clinical promotion.

squamous cell carcinoma of the lungadvanced stagegemcitabinecisplatinmicrowave ablation

陶志刚、周健

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杭州市肿瘤医院 放射科,浙江 杭州 310000

肺鳞癌 中晚期 吉西他滨 顺铂 微波消融

化疗耐药的肺转移瘤射频消融治疗

W2015XR27

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(8)
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