术前长春瑞滨和顺铂化疗在Ⅲ期非小细胞肺癌治疗中的应用

Application of combined chemotherapy with vinorelbine and cisplatin in treatment of stageⅢ non-small cell lung cancer before operation

  • 摘要: 目的: 探讨长春瑞滨和顺铂(NP方案)术前新辅助化疗在Ⅲ期非小细胞肺癌治疗中的疗效。方法: 采用本院2006年3月-2007年12月57例Ⅲ期非小细胞肺癌患者进行回顾性研究,试验组21例,同期对照组36例。试验组患者在术前经细胞学或病理确诊为NSCLC,术前确定肺癌局限于一侧胸腔,无对侧纵隔淋巴结转移,属ⅢA、ⅢB期肺癌,未接受过化、放疗,且经全面检查评价能耐受外科手术者。以同期未行新辅助化疗的III期NSCLC患者作为对照,试验组给予术前NVB+DDP化疗两周期,对照组则直接行手术治疗。结果: 新辅助化疗组有效率为76.19%(16/21),毒副反应主要为消化道和血液系统,静脉炎发生率为14.29%(3/21),临床分期下降率为52.38%(11/21),手术切除率为95.24%(20/21),对照组切除率为86.11%(31/36)。结论: 长春瑞滨和顺铂(NP方案)术前新辅助化疗总有效率较高,毒副反应小,疗效满意,新辅助化疗用于治疗Ⅲ期NSCLC能明显提高肺癌的治愈率,改善远期生活质量。

     

    Abstract: Objective: To explore the application of combined chemotherapy with vinorelbine and cisplatin in treatment of stageⅢnon-small cell lung cancer(NSCLC) before operation. Methods: A retrospective study was made in 57 patients with stageⅢnon-small cell lung cancer admitted to our hospital from March 2006 to December 2007.The patients were divided into experimental group(n=21) and control group(n=36).Patients in experimental group were diagnosed as NSCLC by pathology.After a systematical examination,they were diagnosed asⅢA andⅢB lung cancer.Patients in experimental group received two cycles of NVB+DDP chemotherapy before operation,while patients in control group underwent operation. Results: The patients in experimental group responded to chemotherapy.The negative effect was observed mainly in digestive and blood systems.The effective rate was 52.38%(11/21).The resection rate was 95.24%(20/21) in experimental group and 86.11%(31/36) in control group. Conclusion: Combined chemotherapy with vinorelbine and cisplatin has a high total effective rate for stageⅢnon-small cell lung cancer with few adverse effects,and can improve the quality of patient life.

     

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