吴华, 余忠华, 梁荣, 王镇南, 杨志雄. 高聚生联合放疗治疗鼻咽癌的临床疗效观察[J]. 中国肿瘤临床, 2005, 32(15): 879-882.
引用本文: 吴华, 余忠华, 梁荣, 王镇南, 杨志雄. 高聚生联合放疗治疗鼻咽癌的临床疗效观察[J]. 中国肿瘤临床, 2005, 32(15): 879-882.
Wu Hua, Yu Zhong-hua, Liang Rong, . The Analysis of Clinical Efficacy on Highly Agglutinative Staphylococci Combined with Radiotherapy in the Patients with Nasopharyngeal Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(15): 879-882.
Citation: Wu Hua, Yu Zhong-hua, Liang Rong, . The Analysis of Clinical Efficacy on Highly Agglutinative Staphylococci Combined with Radiotherapy in the Patients with Nasopharyngeal Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(15): 879-882.

高聚生联合放疗治疗鼻咽癌的临床疗效观察

The Analysis of Clinical Efficacy on Highly Agglutinative Staphylococci Combined with Radiotherapy in the Patients with Nasopharyngeal Carcinoma

  • 摘要: 目的:探讨高聚生(高聚金葡素Highly Agglutinative Staphylococcin,HAS)联合放疗治疗鼻咽癌的疗效及对免疫功能的影响。方法:对62例初治鼻咽癌患者用抽签法随机分为实验组和对照组。实验组32例行常规放疗同时每天肌注HAS 500~1000U,直到放疗结束;对照组30例单纯行常规放疗。观察两组临床疗效及检测两组治疗前后T细胞亚群、NK细胞活性的变化。结果:实验组鼻咽肿瘤完全缓解率和颈淋巴结完全缓解率有所提高,但与对照组比较,差异无显著性(P>0.05);1、3和5年生存率实验组与对照组分别为96.9%和93.3%、84.4%和66.7%、77.3%和57.9%,实验组1、3和5年生存率略高于单放组(P>0.05);实验组和对照组肿瘤复发转移率分别为28.1%(9/32)和50.0%(15/30),实验组复发转移率较对照组为低,但统计学无明显差异(P>0.05)。实验组治疗后NK细胞活性明显高于对照组,差异有显著性(P<0.01);实验组治疗后T细胞亚群CD3、CD4和CD4/CD8值明显高于对照组,差异均有高度显著性(P<0.01)。结论:高聚生联合放疗治疗鼻咽癌可提高患者的局部控制率和生存率,并且能提高其细胞免疫功能,有助于降低远处转移的发生。

     

    Abstract: Objective : To evaluate the effect of recent clinical trial and immune function of highly agglutinative staphylococcin combined radiotherapy in the treatment with nasopharyngeal carcinoma (NPC). Methods : A total of 62 patients with nasopharyngeal carcinoma were randomly divided into two groups: the test group (n=32) and control group (n=30). The control group was treated with conventional radiotherapy. The test group was treated with the highly agglutinative staphylococcin combined with conventional radiotherapy. Results : Highly agglutinative staphylococcin plus radiotherapy were beneficial to the nasopharyngeal control rate and the cervical lymph nodes control rate, but there was a significant difference in control rate between the two groups (P>0.05). The 1-, 3- and 5-year survival rates of test groups and control groups were 96.9% and 93.3%, 84.4% and 66.7%, 77.3% and 57.9%,(P>0.05) respectively. The recrudesce and distant metastases rates of test group and control group were 28.1% and 50.0%, (P>0.05) respectively. After treatment the NK of the test group is significant higher than the control group, P<0.01. After treatment the T lymphocyte subsets, CD3, CD4, CD4/CD8 of the test group were significantly higher compared to the control group, P<0.01. Conclusion : Highly agglutinative staphylococcin plus radiotherapy are beneficial to the nasopharyngeal control rate and the cervical lymph nodes control rate, and it can advance cellular immune function in patients with NPC. It may lower the distant metastases in the patients.

     

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