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辽阳市中心医院肿瘤内科
纸质出版日期:2019,
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[1]郝媛媛,程亮亮,于显凤.同步放化疗联合泰欣生治疗进展期食管癌的临床疗效及安全性分析[J].保健医学研究与实践,2019,16(04):58-62+69.
Hao Yuanyuan, Cheng Liangliang, Yu Xianfeng. Efficacy and safety of concurrent chemoradiotherapy combined with Taixinsheng in the treatment of advanced esophageal cancer[J]. Health Medicine Research and Practice, 2019,16(4):58-62.
[1]郝媛媛,程亮亮,于显凤.同步放化疗联合泰欣生治疗进展期食管癌的临床疗效及安全性分析[J].保健医学研究与实践,2019,16(04):58-62+69. DOI:
Hao Yuanyuan, Cheng Liangliang, Yu Xianfeng. Efficacy and safety of concurrent chemoradiotherapy combined with Taixinsheng in the treatment of advanced esophageal cancer[J]. Health Medicine Research and Practice, 2019,16(4):58-62. DOI:
目的探讨同步放化疗联合泰欣生治疗进展期食管癌的临床疗效及安全性。方法选取2014年10月-2015年7月辽宁省某医院收治的106例进展期食管癌患者为研究对象。将患者分为对照组(n=66)和观察组(n=40)。对照组患者采用化疗联合三维适形放疗进行治疗。观察组患者在对照组治疗基础上采用泰欣生进行治疗。治疗结束3d时比较2组患者的治疗效果;治疗前、治疗结束1周时比较2组患者癌胚抗原(CEA)、高迁移率蛋白B1(HMGB1)、鳞状上皮细胞癌抗原(SCC-Ag)水平;出院时
比较2组患者不良反应发生情况;比较2组患者随访3年的生存情况。结果观察组患者客观缓解率为92.50%
高于对照组的77.27%
差异有统计学意义(χ
2
=4.096
P=0.043)。观察组、对照组患者疾病控制率分别为100.00%
95.45%
差异无统计学意义(P
>
0.05)。治疗结束1周时
观察组患者CEA
HMGB1
SCC-Ag水平分别为(46.78±5.01)ng/mL
(104.12±11.26)ng/mL
(26.35±2.74)ng/mL
均低于对照组的(58.24±5.93)ng/mL
(134.15±14.38)ng/mL
(42.96±4.37)ng/mL
差异均有统计学意义(P
<
0.05)。观察组患者发热、皮疹发生率分别为57.5%
65.0%
高于对照组的30.3%
21.2%
差异均有统计学意义(χ
2
=7.641
20.324;P
<
0.05)。观察组患者1年生存率为72.50%
高于对照组的57.58%
差异有统计学意义(χ
2
=4.254
P
<
0.05)。观察组患者2年生存率、3年生存率分别为67.50%及22.50%
对照组患者2年生存率、3年生存率分别为46.97%及16.67%。2组患者2年生存率及3年生存率比较
差异均无统计学意义(P
>
0.05)。观察组患者中位生存时间为29个月(95%CI:26.2~31.8)
对照组患者中位生存时间为19个月(95%CI:7.4~30.6)。结论同步放化疗联合泰欣生治疗进展期食管癌具有确切的疗效
其可提高患者客观缓解率
改善肿瘤标志物水平
提高患者1年生存率
且安全性高
值得临床推广应用。
Objective To investigate the clinical efficacy and safety of concurrent chemoradiotherapy combined with Taixinsheng(tradename for nimotuzumab)in the treatment of advanced esophageal cancer.Methods A total of 106 patients with advanced esophageal cancer admitted to a hospital in Liaoning from October 2014 to July2015 were selected as subjects.Patients were divided into control group(n=66)and observation group(n=40).Both groups were treated with chemotherapy combined with three-dimensional conformal radiotherapy
while observation group was treated with Taixinsheng in addition.The therapeutic effects of the two groups were compared at 3 days after treatment;the level of carcinoembryonic antigen(CEA)
high mobility protein B1(HMGB1)and squamous cell carcinoma antigen(SCC-Ag)were compared between the two groups before treatment and at 1 week after the treatment;at the time of discharge
the adverse reactions of the two groups were compared;the survival of the two groups was compared for 3 years.Results The objective response rate of the observation group was 92.50%
which was higher than that of the control group(77.27%).The differences were statistically significant(χ2=4.096
P=0.043).The disease control rate of the observation group and the control group were 100.00%and 95.45%
respectively
and the difference was not statistically significant(P
>
0.05).At the end of treatment
the levels of CEA
HMGB1 and SCC-Ag in the observation group were(46.78±5.01)ng/mL
(104.12±11.26)ng/mL
(26.35±2.74)ng/mL
respectively
which were lower than those of the control group
which were(58.24±5.93)ng/mL
(134.15±14.38)ng/mL and(42.96±4.37)ng/mL;the difference was statistically significant(P
<
0.05).The incidences of fever and rash in the observation group were57.5% and 65.0%
which were higher than those of the control group(30.3% and 21.2%).The difference was statistically significant(χ
2
=7.641
20.324;P
<
0.05).The 1-year survival rate of the observation group was72.50%
which was higher than that of the control group(57.58%).The difference was statistically significant(χ
2
=4.254
P
<
0.05).There was no significant difference in the 2-year survival rate and 3-year survival rate between the two groups(67.50% and 22.50%in the observation group
46.97%and 16.67%in the control group;P
>
0.05).The median survival time was 29 months(95%CI:26.2 to 31.8)in the observation group and 19 months(95%CI:7.4 to 30.6)in the control group.Conclusion Concurrent chemoradiotherapy combined with Taixinsheng has a definite curative effect on advanced esophageal cancer.It can improve the objective remission rate
tumor marker level and the 1-year survival rate of patients with advanced esophageal cancer
and has a favorable safety profile.Thus
it is worthy of clinical application.
泰欣生三维适形放疗化疗进展期食管癌
TaixinshengThree-dimensional conformal radiotherapyChemotherapyAdvanced esophageal cancer
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