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长春瑞滨联合奥沙利铂二线治疗复发性卵巢癌的临床观察

The clinical observation of vinorelbine and oxaliplatin in relapse ovarian cancer

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【作者】 唐三元殷耒兰陈琳苏菊黄卫国李跃华伍小平朱红波

【Author】 TANG Sanyuan1 YIN Leilan1 CHEN Lin1 SU Ju1 HUANG Weiguo2 LI Yuehua1 WU Xiaoping1 ZHU Hongbo1 1.Oncology Department of the First Affiliated Hospital of University of South China,Hengyang 421001,China;2.Cancer Institute of University of South China,Hengyang 421001,China

【机构】 南华大学附属第一医院肿瘤内科南华大学肿瘤研究所

【摘要】 目的观察长春瑞滨联合奥沙利铂治疗复发卵巢癌的疗效及不良反应。方法本组22例患者给予长春瑞滨和奥沙利铂治疗,连用2个周期后进行影像学检查、CA125评价疗效和观察不良反应。结果完全缓解(CR)1例(4.54%),部分缓解(PR)8例(36.36%),稳定(SD)9例(40.9%),进展(PD)4例(18.2%),总有效率(CR+PR)40.9%。不良反应主要为血液系统毒性、胃肠道反应和神经系统毒性,但均未影响继续治疗,总体疗效满意。恶心呕吐17例(77.27%),神经毒性、感觉异常13例(59.09%),白细胞下降15例(68.18%);血小板下降11例(50.0%);贫血5例(22.73%),均在Ⅲ度以下。结论长春瑞滨联合奥沙利铂治疗复发性卵巢癌患者疗效确切,毒性反应可以耐受。

【Abstract】 Objective To research the effectiveness and adverse reaction of vinorelbine and oxaliplatin in relapse ovar ian cancer.Methods A total of 22 patients in the group were treated with vinorelbine and oxaliplatin,after two cycle,they repeated imaging,CA125 and researched effectiveness and adverse reaction.Results The complete remission(CR) rate was 4.54%(1/22),the patial remission rate was 36.36%(8/22),the stable disease rate was 40.9%(9/22),the progressive disease rate was 18.2%(4/22),and the response rate was 40.9%(9/22).The nausea and vomiting incidence was 17 patients(77.27%),neurotoxicity and cacesthesia was 13 patients(59.09%),leucocytopenia was 15 patients(68.18%),thrombocytopenia was 11 patients(50.0%),anemia was 5 patients(22.73%),all below grade Ⅲ.Conclusion Vinorelbine and oxaliplatin treated relapse ovarian cancer had good effeciacy,the tolerance was good.

【关键词】 卵巢癌长春瑞滨奥沙利铂化疗疗效毒性反应
【Key words】 Ovarian cancerVinorelbineOxaliplatinChemotherapyEfficacyToxicity
【基金】 湖南省自然科学衡阳联合基金(10JJ9017)
  • 【文献出处】 中国现代医生 ,China Modern Doctor , 编辑部邮箱 ,2013年14期
  • 【分类号】R737.31
  • 【被引频次】3
  • 【下载频次】79
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