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顺铂加放疗与单纯放射治疗晚期子宫颈癌

A Study of Combination of Cisplatin With Radiotherpy Versus Radiotherapy Alone for Advanced Carcinoma of the Cervix

  • 摘要: 目的 观察顺铂加放射治疗晚期子宫颈癌的疗效。方法 从1985年6月至1992年6月48例晚期子宫颈癌患者接受顺铂加放射治疗,(DDP20mg d1-5),1~3疗程后放疗,并与45例单纯放疗病人比较。结果 单放组与综合组5年生存率分别为43.0%和48.0%,综合组长期生存率明显高于单放组(P<0.05),Ⅲ期病人5年生存率,综合组明显高于单放组(P<0.05),但两组病灶部分缓解率统计学处理无明显差异(P>0.05)。结论 顺铂加放射治疗晚期子宫颈癌5年生存率较单纯放疗组有明显优势。

     

    Abstract: Objectivc To observe the effect of cmbination cisplatin with radiotherapy in treating the patients with advanced cervical cancer. Methods from July 1985 to July 1992 fortyeight patients with advanced cervical cancer received combination cisplatin (20mg d1-5),for 1-3 cycles followed by radiotherapy forty-five matched patients received radiotherapy alone. Results The 5-year survival rates of radiotherapy alone and combination therapy (cisplatin plus radiotherapy) were 43.0% and 68.0%,respectively.Combination therapy had better longterm effect than radiotherapy alone (P<0.05).5-year survival rate of stage in combination therapy was much higher than that of stage in radiotherapy along (P<0.05).The PR of radiotherapy alone and combination therapy were 40% and 45% respectively with no difference (P>0.05). Conclusion A higher 5-year survival rate in patients with advanced cervival cancer is observed with combination therapy.

     

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