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卡铂和顺铂腔内用药治疗恶性胸腹水的近期疗效观察
Research Short-term Curative Effect of Carboplatin and Cisplatin by the Thoracic and Addominal Cavity Injection
【摘要】 采用卡伯和顺铂腔内注射治疗恶性胸腹水88例。顺铂43例,胸注27例,腹注16例。治疗后显效17例(39.5%),有效19例(44.2%),无效7例(16.3%),总有效率为83.7%。卡铂45例,胸注26例,腹注19例。治疗后显效11例(24.4%),有效13例(28.9%),无效21例(46.7%),总有效率53.3%。统计学处理差异有高度显著性(P<0.01)。两组毒副反应均为骨髓抑制和消化道反应,顺铂组分别为25.6%、55.8%;卡铂组分别为62.2%、24.4%。本组治疗对比结果表明:DDP用于腔内注射疗效优于卡铂。
【Abstract】 The 88 cases patients with malignant hydrothorax and ascitic fluid had rcccivcd the cureof Carboplatin and Cisplatin by thoracic and abdominal cavity injection. From the 43 patients(27 cases of thoracic injection, 16 cases of abdominal injection) who received cioplatin therapy, 17 cases obtained obvious relax (39. 5% ), 19 cases gained relax (44. 2% ),7 cases hadnot any relax (16. 3% ), the total rate of relax was 83.7%. From the 45 patients(26 cases ofthoracic injection, 19 cases of abdominal injcction) who rcccived carboplatin therapy, 11 cases obtained obvious relax (24. 4%), 13 cases gained relax (28. 9% ),21 cases had not any relax (46. 7% ), the total rate of relax was 53. 3%. The culculate of statistics reveals mucjhdifference (P<0. 01) between the two groups. The toxicity and side effect of carboplatingroup and cisplatin group were the reactions of the digestic tract and the bone marrow inhibition. The rates of the side effects of bone marrow inhibition and digesric tract in the cisplatingroup and carboplatin group were 25. 6%’. 8%. 62. 2%’ 24. 4% respectively. Thereforethe comparative test indicated that the therapy of cisptain cavity injection was better thancarboplatin therapy.
【Key words】 Carboplatin; Cisplatin; cavity injection; malignant hydrothorax and ascitic fluid; short-term curative effect;
- 【文献出处】 河南肿瘤学杂志 ,HENAN JOURNAL OF ONCOLOGY , 编辑部邮箱 ,1995年03期
- 【分类号】R730.5
- 【被引频次】4
- 【下载频次】25