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奥沙利铂联合替加氟持续静脉注射治疗晚期胃癌临床观察[J]. 肿瘤防治研究, 2007, 34(11): 871-872. DOI: 10.3971/j.issn.1000-8578.501
引用本文: 奥沙利铂联合替加氟持续静脉注射治疗晚期胃癌临床观察[J]. 肿瘤防治研究, 2007, 34(11): 871-872. DOI: 10.3971/j.issn.1000-8578.501
Clinical Observation of Combined Chemotherapy with Oxal iplatin and Tegafur by Continuous Intravenous Drip for Treatment of Advanced Gastric Cancer[J]. Cancer Research on Prevention and Treatment, 2007, 34(11): 871-872. DOI: 10.3971/j.issn.1000-8578.501
Citation: Clinical Observation of Combined Chemotherapy with Oxal iplatin and Tegafur by Continuous Intravenous Drip for Treatment of Advanced Gastric Cancer[J]. Cancer Research on Prevention and Treatment, 2007, 34(11): 871-872. DOI: 10.3971/j.issn.1000-8578.501

奥沙利铂联合替加氟持续静脉注射治疗晚期胃癌临床观察

Clinical Observation of Combined Chemotherapy with Oxal iplatin and Tegafur by Continuous Intravenous Drip for Treatment of Advanced Gastric Cancer

  • 摘要: 目的 观察奥沙利铂与替加氟持续静脉滴注联合化疗治疗晚期胃癌的临床疗效。方法 21例均为不能手术的Ⅳ期胃癌病人。均接受奥沙利铂130mg/m2,静滴2h,第1天;替加氟600mg/m2,经微量泵持续24h静脉输入,第1~5天,3~4周为一周期,连用2周期后,4周评价疗效。结果 21例患者中,CR0例,PR12例(57.1%),NC6例(28.6%),PD3例(14.3%),总有效率57.1%。中位缓解期4.6个月,中位生存期8.3个月,临床受益率85.7%。毒副反应主要是神经毒性、恶心、呕吐和腹泻等。结论 奥沙利铂与替加氟持续静脉滴注联合化疗治疗晚期胃癌可获得较高疗效,毒副反应能耐受,可作为晚期胃癌的有效治疗方案,值得进一步研究。

     

    Abstract: Objective  To evaluate clinical efficacy and toxicity of chemotherapy with Oxaliplatin (OXA) and Tegafur by continuous int ravenous drip in t reatment of advanced gastric cancer. Methods  A total of 21 patients were pathologically confirmed as stage Ⅳgastric cancer missing opportunity of surgical operation. OXA 130mg/ m2 was infused for two hours on d1, and Tegafur 600mg/ m2 was continuous infused by pump on d1 to d5. One cycle comprised 3~4 weeks, and the efficacy was evaluated after 2 cycles and 4 weeks. Results  In 21 patients, CR was seen in 0 patient s and PR in 12 patient s (57. 1 %) and NC in 6 patients (28. 6 %) and PD in 3 patients (14. 3 %), with total response rate of 57. 1 %. The median remission period was 4. 6 months, the median survival period was 8. 3 months. The CBR was 85. 7 %. The toxicity was mild neural toxicity and gast rointestinal tract toxicity. Conclusion  OXA combined with Tegafur by pump for treatment of advanced gastric cancer has relatively high response rate, and the toxicity can be well tolerated.

     

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