89SrCl2 联合99Tc-MDP对乳腺癌骨转移骨痛治疗疗效

Therapeutic evaluation of 89SrCl2 combined with 99Tc-MDP in treating bone pain of patients with breast cancer and osseous metastasis

  • 摘要: 目的:观察放射性核素氯化锶(89SrCl 2)联合锝- 99- 亚甲基二膦酸盐(99Tc-MDP)治疗乳腺癌骨转移的临床效果。方法:将80例乳腺癌骨转移患者随机分为89SrCl 2 治疗组30例、99Tc-MDP 治疗组22例、89SrCl 2 与99Tc-MDP 联合治疗组28例3 组,观察各组骨痛缓解、骨转移病灶好转和生活质量评分提高情况。结果:骨痛缓解总有效率、生活质量评分提高率在联合治疗组为92.9%(26/ 28)、78.6%(22/ 28),均明显高于89SrCl 2 治疗组的73.3%(22/ 30)、53.3%(16/ 30)和99Tc-MDP 治疗组的63.6%(14/ 22)、45.5%(10/ 22),差异具有统计学意义(P < 0.05)。 骨转移病灶好转有效率在联合治疗组为46.4%(13/ 28),明显优于99Tc-MDP 治疗
    组的18.2%(4/ 22),差异具有统计学意义(P < 0.05);但与89SrCl 2 治疗组的33.3%(10/ 30)比较差异无统计学意义(P > 0.05)。 结论:89SrCl 2 联合99Tc-MDP 治疗可显著提高乳腺癌骨转移骨痛疗效,且无明显不良反应。

     

    Abstract: Objective:To evaluate the clinical value of radioactive nuclide strontium chloride (89SrCl 2) combined with 99Tc-MDP in treating patients with breast cancer and osseous metastasis. Methods:A total of 80patients with breast cancer and experiencing bone pain from osseous metastasis were randomly categorized into three groups. 22patients were treated with 99Tc-MDP (99Tc-MDP group), 30were treated with 89SrCl 2 (89SrCl 2 group), and 28were treated with the combination therapy of 89SrCl 2 and 99Tc- MDP (combination group). The analgesic effect, remission of bone metastases, and quality of life of patients in the three groups were observed before and after treatment. Side effect was also monitored. Results: In the combination group, the overall pain relief rate and the increase rate of life quality score were 92.9% (26/28) and 78.6% (22/28), respectively. The combination group was statistically significantly different from the two single- treatment groups (P <0.05). The effective rate of metastatic lesions was 46.4% (13/28) in the combination group, which was significantly higher than that in the 99 Tc-MDP group ( 18.2%,4/22; P <0.05). The effective rate of metastatic lesions was not significantly different between the combination and 89 SrCl 2 groups (33.3%,10/30) ( P>0.05). Conclusion:The treatment of 89SrCl 2 com -bined with 99Tc-MDP can increase the analgesic effect and significantly improve the curative effect without overt side effects in patients with breast cancer and bone metastasis.

     

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