任洪波, 黄碧有, 李少林. 同时放化疗治疗局部晚期子宫颈癌疗效分析[J]. 中国肿瘤临床, 2004, 31(22): 1281-1282,1283.
引用本文: 任洪波, 黄碧有, 李少林. 同时放化疗治疗局部晚期子宫颈癌疗效分析[J]. 中国肿瘤临床, 2004, 31(22): 1281-1282,1283.
Ren Hongbo, Huang Biyou, Li Shaolin. Concurrent Chemoradiotherapy for Advanced Cervical Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(22): 1281-1282,1283.
Citation: Ren Hongbo, Huang Biyou, Li Shaolin. Concurrent Chemoradiotherapy for Advanced Cervical Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(22): 1281-1282,1283.

同时放化疗治疗局部晚期子宫颈癌疗效分析

Concurrent Chemoradiotherapy for Advanced Cervical Cancer

  • 摘要: 目的 :探讨同时放化疗治疗晚期子宫颈癌的疗效。 方法 :选取1997年12月至1999年6月87例Ⅱb~Ⅳa期子宫颈癌患者,随机分为综合组(同时放化疗)和放疗组。放疗组43例外照射加腔内治疗,当放疗剂量达到30Gy时用192Ir腔内治疗,8.0Gy/次·周。当外照射剂量达到46Gy时中间挡铅。A点剂量70Gy,B点剂量56Gy结束放疗。综合组44例,放射治疗同单纯放疗组,放疗开始给予顺铂(DDP)20mgivd1~d5,5-FU750mgivd1~d5,每28天为一周期,共用4周期。 结果 :全部病例随访5年以上,随访率93.0%。综合组3、5年生存率分别为86.4%,65.9%;单纯放疗组3、5年生存率分别为55.8%,39.5%,有显著性两组差异(P<0.05,×2=4.144;5.09)。不良反应无显著性差异。 结论 :同时放化疗治疗晚期子宫颈癌疗效好,可以提高3、5年生存率,不良反应并无明显增加。

     

    Abstract: Objective :To observe the effect and side effects of Concurrent chemoradiotherapy for advanced cervical cancer. Methods :Form December 1997 to June 1999,87 patients with advanced cervical cancer were randomly allocated into 2 groups. The synthesis group: the radiotherapy was carried out the same as the conventional fractionation group,i.e. firstly with Cisplatin 20mg iv d1=d%,%-Fluorouracil 750mg iv d1 -5,repeat every 28 days, total 4 cycle; the conventional fractionation group received routine radiotherapy 2Gy per day, 5 times a week to a total does of 30Gy with 192Ir brachyther-apy, 8Gy per week. When total dose reach 46Gy, the middle field is shielded by plumbum,continuous radiotherapy,total dose reach A point 70Gy,B point 56Gy. Results :All patients were followed-up for more than five years .the follow-up rate was 93.0U. In the concurrent chemoradiotherapy group, the 3-year survival rate and the 5 -year survival rate were 86.4U and 65.9U. In the radiotherapy group,the 3-year survival rate and the 5-year survival rate were 55.8U and 39.5U. There is significant difference in two groups (P<0.05,×2=4.144;5.09), no significant difference in toxicity-side effect. Conclusion :Concurrent chemoradiotherapy for advanced cervical cancer can significantly improve the 3-year and 5-year survival rate and has little increase in toxicity-side effect.

     

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