网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
Ⅰb2-Ⅱb期宫颈腺癌患者术前新辅助化疗的疗效观察
作者:叶春萍等 
单位:南京医科大学附属南京市妇幼保健院
关键词:宫颈腺癌 新辅助化疗 紫杉醇 顺铂 
分类号:R737.33
出版年·卷·期(页码):2012·40·第五期(562-565)
摘要:

摘要 目的:探讨术前新辅助化疗对Ⅰb2-Ⅱb期宫颈腺癌患者治疗的疗效。方法:以Ⅰb2-Ⅱb期宫颈癌患者23例为观察组,予以紫杉醇、顺铂(TP方案)化疗1-2个疗程,随后行根治性手术;以19例同期同条件患者为对照组,直接给予根治性手术,术后随访。观察两组患者的病理结果、预后情况及观察组患者的化疗有效率。结果:观察组患者化疗有效率为(CR+PR)69.57%;观察组患者宫颈深肌层浸润率、宫旁浸润率、盆腔淋巴转移率、阴道切缘率低于对照组,两组比较差异有显著性(P<0.05)。两组手术时间比较差异无显著性,术中出血量观察组明显低于对照组(P<0.05)。观察组患者的1、3年生存率均高于对照组,肿瘤复发率低于对照组患者,差异有统计学意义。结论:Ⅰb2-Ⅱb期宫颈腺癌患者术前新辅助化疗可缩小肿瘤体积,降低淋巴结转移率及复发率、延长生存时间,是有效的治疗方法。紫杉醇加顺铂方案是宫颈腺癌术前新辅助治疗的有效方案。

【Abstract】 Objective: To determine the effects of neoadjuvant chemotherapy in patient with stageⅠb2-Ⅱb adenocarcinoma of the uterine cervix. Methods: 23 patients with StageⅠb2-Ⅱb Adenocarcinoma of The Uterine Cervix were chosen for the observed group. They received 1 to 2 courses of treatment consisting of cisplatin and paclitaxel(TP regimen). After the chemotherapy regimen was completed, the patients underwent radical surgery. A group of 19 cases with the same diagnoses received radical surgery alone. This group was considered the control group. The patients were followed. The pathology result, the rate of recurrence and the survival time were compared between the two groups. Results: The effective rate of chemotherapy for patients in the observed group was (CR+PR) 69.57%. In the observed group, the postoperative rate of cervical deep myometrial invasion, parametrial infiltration rate, pelvic lymph node metastasis rate and vaginal margin rate were significantly lower compared to the control group (P<0.05). There wasn’t difference in operative time of the two groups, but blood loose of the observed group were significantly less than the controls (P<0.05). The 1-year/3-years survival rate of the observed group were significantly longer than the controls, and the relapse rate were significantly lower for patients in the observed group. Conclusion: Neoadjuvant chemotherapy is beneficial for diminishing gross tumor volume, reducing the rate of lymph node metastasis and relapse, and prolonging the survival time of patients with stageⅠb2-Ⅱb adenocarcinoma of the uterine cervix. The TP regimen is effective in the treatment of patient with stageⅠb2-Ⅱb adenocarcinoma of the uterine cervix.

参考文献:
服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 749543 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541