首页|改良XELIRI方案治疗铂耐药及铂难治卵巢癌的效果

改良XELIRI方案治疗铂耐药及铂难治卵巢癌的效果

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目的:探讨改良卡培他滨联合伊立替康(XELIRI)方案治疗铂耐药及铂难治卵巢癌的临床效果.方法:按随机数字表法将2020年6月—2021年12月我院治疗的60例铂耐药铂难治卵巢癌患者分为两组,各30例.对照组采用伊立替康治疗,观察组采用改良XELIRI方案治疗.比较两组临床疗效、生存质量、肿瘤标志物、生存期(OS)、无进展生存期(PFS)及不良反应.结果:观察组治疗总有效率(RR)、疾病控制率(DCR)高于对照组,Karnofsky功能状态(KPS)评分高于对照组,人附睾蛋白4(HE4)、糖类抗原(CA)125、CA199水平低于对照组,OS与PFS长于对照组(P<0.05).两组不良反应发生率比较,无统计学差异(P>0.05).结论:改良XELIRI方案治疗及铂耐药铂难治卵巢癌可控制疾病进展,降低肿瘤标志物水平,提高患者生存质量,延长患者生存期,且不良反应并未增加.
Effect of Modified XELIRI Regimen in the Treatment of Platinum-resistant Platinum-refractory Ovarian Cancer
Objective:To investigate the clinical effect of modified capecitabine combined with irinotecan (XELIRI) regimen in the treatment of platinum-resistant platinum-refractory ovarian cancer. Methods:According to the random number table method,60 patients with platinum-resistant platinum-refractory ovarian cancer treated in our hospital from June 2020 to December 2021 were divided into two groups,30 cases in each group. The control group was treated with irinotecan,and the observation group was treated with modified XELIRI regimen. The clinical efficacy,quality of life,tumor markers,survival (OS),progression-free survival (PFS) and adverse reactions were compared between the two groups. Results:The total effective rate (RR) and disease control rate (DCR) of the observation group were higher than those of the control group,the Karnofsky functional status (KPS) score was higher than that of the control group,the levels of human epididymis protein 4 (HE4),carbohydrate antigen (CA) 125 and CA199 were lower than those of the control group,and OS and PFS were longer than those of the control group (P<0.05). Conclusion:Modified XELIRI regimen in the treatment of platinum-resistant platinum-refractory ovarian cancer can control disease progression,reduce the level of tumor markers,improve the quality of life of patients,prolong the survival time of patients,and the adverse reactions did not increase.

Platinum-resistant platinum refractory ovarian cancerCapecitabineIrinotecanTumor markersSurvival period

潘清华、李婉青、胡健、刘勇、程细云、李美丽、余瑛、郭守俊

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赣州市肿瘤医院肿瘤内科,江西赣州 341000

铂耐药铂难治卵巢癌 卡培他滨 伊立替康 肿瘤标志物 生存期

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(11)