期刊文献+

新辅助化疗治疗Ⅲ期非小细胞肺癌的临床分析 被引量:7

新辅助化疗治疗Ⅲ期非小细胞肺癌的临床分析
下载PDF
导出
摘要 目的探讨新辅助化疗治疗Ⅲ期非小细胞肺癌的临床治疗效果。方法选择2004年10月~2006年10月56例Ⅲ期非小细胞肺癌患者,随机分为观察组和对照组。对照组患者直接行手术治疗。观察组在手术治疗前给予新辅助化疗,具体方案是吉西他滨加顺铂(GP方案)。观察两组患者手术切除率、手术并发症发生情况等。对两组患者进行随访。观察两组患者1年、3年、5年生存率。结果①两组切除率比较,差异有统计学意义(P<0.05)。②两组并发症发生情况比较,差异无统计学意义(P>0.05)。③观察组3年生存率、5年生存率分别与对照组比较,差异有统计学意义(P<0.05)。结论 GP方案新辅助化疗能够提高Ⅲ期非小细胞肺癌手术切除率和长期生存率。临床效果显著。 objective To explore the clinical efficacy of neo-adjuvant chemotherapy on stage Ⅲ non-small cell lung cancer. Methods 56 cases with stage Ⅲ non-small cell lung cancer were selected from October, 2004 to October, 2006. and they were divided into two groups, observation group and control group. Surgical treatment was directly used to control group. Before surgical treatment, neo-adjuvant chemotherapy was given to observation group, the chemotherapy regimen included gemcitabine and cisplatin, resection rate, operative complications in two groups were observed. Follow-up in two groups, one-year survival rate, three years survival rate five years survival rate were observed in two groups. ①Results The resection rate in observation group compared with that in control group, there was statistical difference(P〈0.05).②The incidence of operative complications in observation group compared with that in control group, there was statistical difference(P〉0.05).③Three years survival rate and five years survival rate in observation group compared those in control group, there was statistical difference(P〈0.05).Conclusion Neo-adjuvant chemotherapy can significantly increase resection rate and long term survival rate, the clinical efficacy was significant.
出处 《当代医学》 2010年第31期94-95,共2页 Contemporary Medicine
关键词 非小细胞肺癌 Ⅲ期 新辅助化疗 Neo-adjuvant chemotherapy Tage Ⅲ Non-small cell lung cancer
  • 相关文献

参考文献4

二级参考文献27

  • 1姚珂,向明章,闵家新,张国强,周人杰,李德志.Ⅲ期非小细胞肺癌术前新辅助化疗的随机对照临床试验[J].中国肿瘤临床,2004,31(11):611-613. 被引量:19
  • 2支修益,张毅,许庆生,刘宝东,苏雷,王若天,胡牧,王辉荣.Ⅲ期非小细胞肺癌患者术前新辅助化疗效果分析[J].中华结核和呼吸杂志,2006,29(1):60-60. 被引量:23
  • 3[1]Keller SM, Adak S, Wanger H, et al. Prospective randomized trial of postoperative adjuvant therapy in patients with completely resected stages Ⅱ and Ⅲa non-small cell lung cancer: An intergroup trial (E3590)[J]. N Engl J Med, 2000,343:1217
  • 4[2]Wolf M, Muller HH, Seifart U, et al. Randomized phase Ⅲ trial of adjuvant radiotherapy vs. adjuvant chemotherapy follow by radiotherapy in patients with N2 positive non-small cell lung cancer(NSCLC) [J]. Proc Am Soc Clin Oncol, 2001,20:1242
  • 5[3]Ichinose Y, Tada H, Koike T, et al. Chemotherapy in patients with completely resected stages Ⅲ a-N2 non-small cell lung cancer: Japan Clinical Oncology Group (JCOG9304) trial[J]. Proc Am Soc Clin Oncol,2001,20:1241
  • 6Machtay M, Lee J-H, Stevenson JP, et al. Two commonly used neoadjuvant chemoradiotherapy regimens for locally advanced stage m non-small cell lung carcinoma: long-term results and associations with pathologic response [J]. J Thorac Cardiovasc Surg, 2004, 127(1): 108-113.
  • 7Cappuzzo F, Selvaggi G, Gregorc V, et al. Gemcitabine and cisplatin as induction chemotherapy for patients with unresectable Stage ⅢA-bulky N2 and Stage ⅢB nonsmall cell lung carcinoma: an Italian Lung Cancer Project Observational Study [J]. Cancer, 2003, 98(1): 128-134.
  • 8Ferguson MK. Optimal management when unsuspected N2 nodal disease is identified during thoracotomy for lung cancer: cost-effectiveness analysis [J].J Thorac Cardiovasc Surg, 2003 , 126(6):1935 - 1942.
  • 9Sonett JR, Krasna MJ, Suntharalingam M, et al. Safe pulmonary resection after chemotherapy and high-dose thoracic radiation [J].Ann Thorac Surg, 1999, 68(2): 316-320.
  • 10Roberts JR, Eustis C, Devore R, et al. Induction chemotherapy increases perioperative complications in patients undergoing resection for non-small cell lung cancer [J]. Ann Thorac Surg, 2001,72(3): 885-888.

共引文献8

同被引文献31

引证文献7

二级引证文献23

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部