当前位置:首页 / 适形调强放疗联合奥沙利铂、卡培他滨同步化疗治疗晚期食管癌患者效果评价
论著 | 更新时间:2017-11-06
|
适形调强放疗联合奥沙利铂、卡培他滨同步化疗治疗晚期食管癌患者效果评价
Effect of intensitymodulated radiation therapy combined with oxaliplatin and capecitabine concurrent chemotherapy in the treatment of advanced esophageal cancer

内科 201712卷05期 页码:619-921

作者机构:(广东省湛江中心人民医院肿瘤科,湛江市524000)

DOI:DOI:10.16121/j.cnki.cn451347/r.2017.05.05

  • 中文简介
  • 英文简介
  • 参考文献
【摘要】目的探讨适形调强放疗联合奥沙利铂、卡培他滨同步化疗治疗晚期食管癌患者的临床效果。方法将2012年1月至2013年12月在我院接受治疗的56例晚期食管癌患者按照随机数字表法分为两组,每组28例。对照组患者采用适形调强放疗治疗,研究组患者进行适形调强放疗联合奥沙利铂、卡培他滨同步化疗治疗。比较两组患者的临床治疗效果、远期生存情况、QLQOES24评分及不良反应发生情况。结果治疗6周后,研究组患者治疗总有效率(82.1%)显著高于对照组(57.1%),差异有统计学意义(P<0.05);研究组患者1、2、3年生存率显著高于对照组(P<0.05);两组患者放射性肺炎、放射性食管炎等不良反应及其INM临床分期比较差异均无统计学意义(P>0.05);治疗1、2个月后,两组患者QLQOES24评分比较差异无统计学意义(P>0.05),治疗6个月后研究组患者QLQOES24评分显著高于对照组(P>0.05)。结论适形调强放疗联合奥沙利铂、卡培他滨同步化疗治疗晚期食管癌患者,可有效提高临床治疗效果,改善患者的生活质量,不增加患者的不良反应,在临床上具有一定的推广应用价值。
【Abstract】ObjectiveTo investigate the effect of intensitymodulated radiation therapy combined with oxaliplatin and capecitabine concurrent chemotherapy in the treatment of advanced esophageal cancer. MethodsA total of 56 patients with advanced esophageal cancer who were treated in our hospital from January 2012 to December 2013 were divided into two groups according to random number table, 28 in each group. The control group was treated with intensitymodulated radiation therapy. The study group received intensitymodulated radiation therapy combined with oxaliplatin and capecitabine concurrent chemotherapy. The treatment effect, longterm survival, QLQOES24 score and incidence of adverse reactions were compared between the two groups. ResultsAfter 6 weeks of treatment, the total effective rate of the study group (82.1%) was higher than that of the control group (57.1%), the difference was statistically significant (P<0.05). The 1, 2, 3year survival rate of the study group was higher than that of the control group (P<0.05). There was no significant difference in adverse reactions and INM clinical stages between the two groups (P>0.05). There was no significant difference in QLQOES24 score between the two groups after 1 and 2 months of treatment(P>0.05). The QLQOES24 score of the study group was significantly higher than that of the control group after 6 months of treatment(P>0.05). ConclusionThe treatments of intensitymodulated radiation therapy combined with oxaliplatin and capecitabine concurrent chemotherapy can effectively improve the clinical treatment effect, improve the quality of life, increase little adverse reactions of patients with advanced esophageal cancer. It is worthy of promotion and application.

3199

浏览量

1921

下载量

0

CSCD

工具集