实用肿瘤学杂志 ›› 2011, Vol. 25 ›› Issue (4): 310-314.doi: 10.3969/j.issn.1002-3070.2011.04.003

• 论著 • 上一篇    下一篇

氩氦刀联合化疗治疗中晚期非小细胞肺癌疗效观察

李丁楠, 张艳桥, 李志伟, 纪滨英, 于丽娟, 王晓红   

  1. 哈尔滨医科大学附属第三医院(哈尔滨 150081)
  • 收稿日期:2010-12-21 出版日期:2011-04-25 发布日期:2012-02-21
  • 通讯作者: 张艳桥,E-mail:yanqiaozhang@126.com
  • 作者简介:李丁楠,女,(1982-),硕士,从事肿瘤的放射治疗研究
  • 基金资助:
    黑龙江省哈尔滨市科技局科技攻关项目

The efficacy of cryosurgery combined with chemotherapy in advanced non-small cell lung cancer

LI Dingnan,ZHANG Yanqiao,LI Zhiwei,JI Binying,YU Lijuan,WANG Xiaohong   

  1. The Third Affiliated Hospital of Harbin Medical University,Harbin 150081
  • Received:2010-12-21 Online:2011-04-25 Published:2012-02-21

摘要: 目的 探讨氩氦靶向冷冻消融系统(氩氦刀)联合全身化疗治疗中晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)的可行性及疗效。方法 2005年11月—2009年3月,将我科收治的90例中晚期非小细胞肺癌患者随机分入三个治疗组,A组:氩氦刀手术联合全身化疗(31例);B组:单纯氩氦刀(29例);C组:单纯化疗(30例)。观察患者治疗有效率、1年生存率及不良反应。结果 三组患者治疗后CEA值较治疗前均有所下降,但以氩氦刀手术联合化疗组(A组)下降最明显;治疗有效率为氩氦刀联合化疗组(A组)70.4%(19/27),单纯氩氦刀组(B组)55.2%(16/29),单纯化疗组(C组)42.9%(12/28),A、C两组比较有统计学意义(P<0.05),1年生存率在氩氦刀联合化疗组(A组)为63.0%(17/27),单纯氩氦刀组(B组)为41.4%(12/29),单纯化疗组(C组)为46.4%(13/28),三组比较均无统计学意义(P>0.05)。三组患者治疗后不良反应均可耐受。结论 氩氦刀联合全身化疗在疗效方面明显优于单纯氩氦刀治疗和单纯全身化疗,且具有较好的耐受性,是治疗中晚期非小细胞肺癌值得推广的方法。

Abstract: Objective To evaluate the feasibility and efficacy of using the Ar-He target cryoablation combined with chemotherapy for treating advanced non-small cell lung cancer(NSCLC).Methods Between 2005 Nov and 2009 Mar,90 non-small cell lung cancer patients confirmed by pathology were divided into the groups of chemotherapy after cryosurgery(group A,n=31),cryosurgery alone(group B,n=29)and chemotherapy alone(group C,n=30).The effective rate,the existence rate in one year and side effects were analyzed.Results The level of CEA decreased in the group A than that in the group B or group C.The response rate was 70.4%(19/27)in the group A,55.2%(16/29)in the group B and 42.9%(12/28)in the group C.There was a statistical difference between A and C group(P<0.05).The existence rate in one year was 63.0%(A:17/27),41.4%(B:12/29),46.4%(C:13/28),respectively,and there were no statistical difference between them(P>0.05).The side effects of all the three groups were tolerable.Conclusion The procedure using chemotherapy after cryosurgery have more efficacy than the cryosurgery alone or the chemotherapy alone,and the side effects are tolerable.The method is a valuable way for the advanced non-small cell lung cancer.

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