WANG Jian1, LIU Wen-shu2. Observation of Curative Effect of Concurrent Radiochemotherapy with Chemotherapy on Mid-term and Terminal Oral Squamous Cell Carcinoma. [J]. Health Medicine Research and Practice 9(4):40-41(2012)
WANG Jian1, LIU Wen-shu2. Observation of Curative Effect of Concurrent Radiochemotherapy with Chemotherapy on Mid-term and Terminal Oral Squamous Cell Carcinoma. [J]. Health Medicine Research and Practice 9(4):40-41(2012)DOI:
Observation of Curative Effect of Concurrent Radiochemotherapy with Chemotherapy on Mid-term and Terminal Oral Squamous Cell Carcinoma
摘要
目的探讨顺铂(DDP)、5-氟脲嘧啶(5-FU)、平阳霉素(PYM)联合四氢叶酸(CF)
同期放疗治疗中、晚期口腔鳞癌临床价值。方法 90例中、晚期口腔鳞癌患者随机分为A、B两组各50例
A组为DFP方案(DDP+5-FU+PYM)化疗+同期放疗
B组为DFP方案联合CF化疗+同期放疗。结果 A、B两组有效率(RR)分别为80%、93.3%
差异有统计学意义(p<0.05)。主要不良反应为局部色素沉着、白细胞下降及口腔粘膜炎等
毒性反应B组多于A组。结论 DFP方案联合CF化疗同期放疗治疗中、晚期口腔鳞癌
其疗效优于DFP化疗同期放疗
治疗费用低
可作为口腔癌的一线治疗方案推广。
Abstract
Objective To explore the clinical value of cisplatin(DDP)
5-Fluorouracil(5-FU)
pingyangmycin(PYM) combined with tetrahydrofolate(CF) and concurrent radiochemotherapy in treating mid-term and terminal oral squamous cell carcinoma.Method 90 mid-term and terminal oral squamous patients were divided into group A and group B randomly
with 50 patients in each group
among which group A adopted the therapeutic plan of DFP(DDP+5-FU+PYM)chemotherapy+ concurrent radiochemotherapy
group B adopted the plan of DFP combined with CF chemotherapy+ concurrent radiochemotherapy.Result The response rate(RR) of group A and B were 80%、93.3% respectively
and the differences were significant(p<0.05).Major adverse reactions were local chromatosis
white blood cell decrease and oral mucositis etc.There were more toxic reactions in group B than in group A.Conclusion Therapeutic plan of DFP combined with CF chemotherapy+ concurrent radiochemotherapy to treat mid-term and terminal oral squamous cell carcinoma can effectively control local tumors
have satisfactory short-term curative effect
few adverse reactions
less treatment cost
and can be spread as the first choice of treating oral cancer.