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醛氢叶酸、氟脲嘧啶配合放射治疗晚期复发直肠癌的临床观察

Radiotherapy Combined with High dose Leucovorin and 5 Fu for Advanced and Recurrent Rectal Carcinoma

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【作者】 王庆伟刘宏常萍刘月欣

【Author】 Wang Qingwei,Liu Hong,Chang Ping,et al Affiliated Hospital of Shandong Medical University,Jinan 250012

【机构】 山东医科大学附属医院肿瘤中心

【摘要】 目的:探讨醛氢叶酸,氟脲嘧啶配合放射治疗晚期复发直肠癌的临床疗效。方法:对34例无法手术的直肠癌进行了放射治疗,其中18例同时给予醛氢叶酸(CF),氟脲嘧啶(5Fu)的全身化疗(观察组),16例为单纯放疗(对照组)。结果:放疗结束时,观察组中局部症状缓解率较对照组高,尤其对会阴区下坠疼的改善明显(P<005),且转移症状亦有所缓解。两组有效率分别为83%、50%。有显著性差异(P<005),完全缓解分别为222%、625%。结论:CF/5Fu配合放疗治疗晚期、复发直肠癌可提高近期疗效,尤其对于伴远外转移患者为理想、安全的治疗手段。

【Abstract】 patients with inoperable carcinoma of rectum were evaluated for response after treatment.18 of them were treated with radiotherapy plus leucovorin (CF)/5 FU (study group),others were treated with radiotherapy alone (control group).The results show that the remission rate of symptoms were higher in study group than in control group,especially for perineal pain.The overall response rates were 83% and 50% respectively, P <0 05.The trial suggested that Chemotherapy with CF/5 FU plus radiotherapy elevate the therapeutic effect for advanced and recurrent rectal carcinoma and be especially suitable for patients with metastasis.

【关键词】 醛氢叶酸氟脲嘧啶直肠癌放射治疗
【Key words】 RadiotherapyHigh dose leucovorin5 FURectal cancer
  • 【文献出处】 肿瘤防治研究 ,CANCER RESEARCH ON PREVENTION AND TREATMENT , 编辑部邮箱 ,1999年03期
  • 【分类号】R735.370.5
  • 【下载频次】13
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