游岚瑛, 冯 梅, 李秀华, 钟沛霖. 甘氨双唑钠对宫颈癌放化疗增敏作用的研究[J]. 中国肿瘤临床, 2011, 38(19): 1209-1211. DOI: 10.3969/j.issn.1000-8179.2011.19.008
引用本文: 游岚瑛, 冯 梅, 李秀华, 钟沛霖. 甘氨双唑钠对宫颈癌放化疗增敏作用的研究[J]. 中国肿瘤临床, 2011, 38(19): 1209-1211. DOI: 10.3969/j.issn.1000-8179.2011.19.008
Lanying YOU, Mei FENG, Xiuhua LI, Peilin ZHONG. Studies on Sensitization of Sodium Glycididazole Combined with Concomitant Radiochemotherapy for Advanced Cervical Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(19): 1209-1211. DOI: 10.3969/j.issn.1000-8179.2011.19.008
Citation: Lanying YOU, Mei FENG, Xiuhua LI, Peilin ZHONG. Studies on Sensitization of Sodium Glycididazole Combined with Concomitant Radiochemotherapy for Advanced Cervical Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(19): 1209-1211. DOI: 10.3969/j.issn.1000-8179.2011.19.008

甘氨双唑钠对宫颈癌放化疗增敏作用的研究

Studies on Sensitization of Sodium Glycididazole Combined with Concomitant Radiochemotherapy for Advanced Cervical Carcinoma

  • 摘要: 观察注射用甘氨双唑钠(CMNa)对中晚期宫颈癌的放化疗增敏作用及不良反应。方法:采用随机分组的方法,将60例经病理学确诊的中晚期宫颈癌患者分为增敏组(A组,放化疗加甘氨双唑钠)和对照组(B组,放化疗),每组30例。两组放化疗方式相同。A组在放化疗同时,给予CMNa 800 mg/m2,给药后1h内接受放疗,每周3次,6~7周。B组行同步放化疗。结果:A组治疗结束CR率为83.3%(25/30),明显高于B组的60%(18/30),两组比较差异有显著性(P<0.05),两组总有效率在放疗结束时均为100%,A组放疗结束3个月后CR率为86.7%(26/30),总有效率为93.3%(28/30),B组放疗结束后3个月CR率为80%(24/30),总有效率为96.7%(29/30),两组比较均无显著性差异(P>0.05)。两组患者发生不良反应的严重程度无明显差异。结论:甘氨双唑钠对提高中晚期宫颈癌同期放化疗临床近期完全缓解率有一定意义,并且未增加不良反应,但其远期疗效有待进一步扩大样本量并随访观察。

     

    Abstract: The present study aims to discuss the efficacy of sodium glycididazole ( CMNa ), combined with concurrent radiochemotherapy, for advanced cervical carcinoma and to observe its adverse reactions. Methods: A total of 60 patients with cervical carcinoma were randomly classified into two groups. There were 30 cases in the sensitization group ( group A: CMNa combined with concomitant radiochemotherapy ) and the other 30 cases in the control group ( group B: concomitant radiochemotherapy ). The method of radiochemotherapy was the same in both groups. Aside from radiochemotherapy, the patients in Group A were concurrently administered with an intravenous drip of CMNa 800 mg/m2 at 1 h prior to irradiation therapy, three times a week for 6 to 7 wk. The patients in group B were given concomitant radiochemotherapy only. Results: After the treatment, 25 ( 83.3% ) of the 30 patients in group A achieved complete remission ( CR ), and 18 ( 60% ) of the 30 patients in group B achieved CR, with significant differences in the CR rates between the two groups ( P < 0.05 ). Both groups achieved an overall response rate (partial remission+CR) of 100% at the end of the treatment. At three months after radiotherapy, the CR rate was 86.7% ( 26/30 ) in group A, with a total effective rate of 93.3% ( 28/30 ). The CR rate was 80% ( 24/30 ) in group B, and the total effective rate was 96.7% ( 29/30 ). There were no significant differences between the two groups in the CR and the overall response rate after three months of therapy ( P > 0.05 ). There were no significant differences in the degree of adverse reactions between the two groups. Conclusion: Sodium glycididazole can improve the complete remission rate in patients with local advanced cervical carcinoma treated with concurrent radiochemotherapy, without more severe toxicity. However, to understand long-term effects of sodium glycididazole, a large sample size and further observation are needed.

     

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