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1、康萊特聯(lián)合同步放化療治療中晚期宮頸癌的臨床觀1.貴州醫(yī)科大學(xué)附屬貴州省人民醫(yī)院貴州貴陽550002;2.貴州省人民醫(yī)院貴州貴陽550002【摘要】目的:探討康萊特注射液聯(lián)合同步放化療治療中晚期宮頸癌的近期療效、毒副反應(yīng)及耐受性。方法:107例lib?IVa期宮頸癌初治患者采用隨機(jī)法分為實驗組和對照組,實驗組:康萊特注射液200ml靜滴dl-d2l4?圖像引導(dǎo)調(diào)強放療(IGRT)盆腔放療+單藥順鉑30mg/m2每周一次。對照組:IGRT盆腔放療+單藥順鉑30mg/m2每周一次。兩組盆腔外照射劑量及后裝劑量相同。
2、結(jié)果:兩組近期有效率:實驗組為89%,對照組為73%,兩組比較差異有統(tǒng)計學(xué)意義(P<0.05);白細(xì)胞減少、血紅蛋白減少及腹痛腹瀉的發(fā)生率實驗組低于對照組,差異有統(tǒng)計學(xué)意義(P<0.05),但在肝功能損害方面,實驗組高于對照組差異有統(tǒng)計學(xué)意義(P<0.05),其余毒副反應(yīng)評價差異無統(tǒng)計學(xué)意義(P〉0.05)。結(jié)論:康萊特注射液聯(lián)合同步放化療治療中晚期宮頸癌的近期療效肯定、毒副反應(yīng)較輕(肝功能損害除外)、病人耐受性好?!娟P(guān)鍵詞】康萊特注射液;宮頸癌;同步放化療;圖像引導(dǎo)調(diào)強放療;順鉑[Abstract]Obje
3、ctive:ToinvestigateKanglaiteinjectioncombinedwithradiotherapyandthecurativeeffectofchemotherapyinthetreatmentofadvancedcervicalcancer,toxicityandpatienttolerance.Methods:107casesatthebeginningofthelib?IVacervicalcarcinomaofstagetreatmentpatientswererandomly
4、dividedintotheexperimentalgroupandthecontrolgroup,theexperimentalgroup55cases,controlgroup(52cases).Theexperimentalgroupadopted:Kanglaiteinjection200mlintravenousdripdl-d21+imageguidedintensity-modulatedradiotherapy(IGRT)pelvicradiotherapy+singleagentcispla
5、tin30mg/m2perweekatatime.ThecontrolgroupwasusedforIGRTpelvicradiotherapypluscisplatin30mg/m2onceaweek.ThetwogroupswerethesameastheexternalradiationdoseandtheInternalirradiationdoseofthesame.Results:Twogroupsofrecentefficiency:intheexperimentalgroupwas89%and
6、73%inthecontrolgroup,thedifferencebetweenthetwogroupshasstatisticalsignificance(P<0.05);leucopeniadecreaseinhemoglobinandabdominalpainanddiarrheaincidencerateoftheexperimentalgroupwaslowerthanthatofthecontrolgroup,thedifferenceisstatisticallysignificant/
7、P<0.05),butinliverfunctiondamage,theexperimentalgrouphigherthanthatofthecontrolgroup,thedifferencewasstatisticallysignificant(P<0.05),thetoxicandsideeffectstoevaluatedifferencesnostatisticalsignificance(P>0.05).Conclusions:Kanglaiteinjectioncombine
8、dwithradiotherapyandchemotherapyinthetreatmentofadvancedcervicalcancerrecentcurativeeffectandadversereactionoflighter(exceptforliverfunctiondamage),patienttoleranceisgood.Keywords:KanglaiteInjectionChe