戴 群,卢 峰,梁万霞.适形放疗加同步化疗治疗局部晚期胃癌的疗效观察[J].肿瘤学杂志,2012,18(4):259-262. |
适形放疗加同步化疗治疗局部晚期胃癌的疗效观察 |
Effect of Concurrent Conformal Radiotherapy and Chemotherapy for Locally Advanced Gastric Cancer |
投稿时间:2012-01-30 |
DOI: |
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中文关键词: 胃肿瘤 同步放化疗 三维适形放疗 |
英文关键词:stomach neoplasms concurrent chemoradiotherapy three dimensional conformal radiotherapy |
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中文摘要: |
摘 要: [目的]观察适形放疗加同步化疗治疗局部晚期胃癌的近期疗效及不良反应。[方法]36例局部晚期胃癌患者分为治疗组和对照组,治疗组17例给予FOLFOX4方案化疗并同步三维适形放疗(总剂量45~50 Gy);对照组19例仅给予化疗,方案同治疗组。[结果] 36例患者全部完成治疗,治疗组、对照组有效(RR)率为76.5%、42.1%,疾病控制(DCR)率为88.2%、57.9%,两组间RR率、DCR率比较差异均有统计学意义(P<0.05);两组不良反应如消化道反应、骨髓抑制、外周神经毒性等方面,差异均无统计学意义(P>0.05)。[结论] 适形放疗加同步化疗治疗局部晚期胃癌疗效确切,不良反应可以耐受,值得进一步研究。 |
英文摘要: |
Abstract: [Purpose] To investigate the short-term response and toxicity of concurrent conformal radiotherapy and chemotherapy for locally advanced gastric cancer. [Methods] Thirty-six cases with locally advanced gastric cancer were divided into treatment group and control group.The treatment group (17 cases ) received FOLFOX4 regimen chemotherapy and concurrent three-dimensional conformal radiotherapy (total doses 45~50 Gy),and the control group (19 cases),with the same regimen chemothera-py alone as the treatment group.[Results] All the 36 patients completed the treatment,with short-term response rate(RR) 76.5% and 42.1%,disease control rate (DCR) 88.2% and 57.9% in the treatment group and control group respectively. There was significant difference in RR or DCR between the two groups(P<0.05). There was no significant difference between the two groups in the digestive tract toxicity,myelosuppression,peripheral neuritis(P>0.05). [Conclusion] Concurrent conformal radiotherapy and chemotherapy for locally advanced gastric cancer is effective,and its toxicities are tolerable. |
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