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肺癌并胸腔积液两种治疗方法的比较

Comparision about two kinds of curative methods on lung cancer with hydrothoraa patients

  • 摘要: 我科于1990年1月~1993年5月应用胸腔插管闭式引流用水注抗癌药治疗肺癌胸腔积液,随机分两组,引流组及常规胸穿抽水注药组(对照组),每组各30例行对比分析,所有病例均经组织学或细胞学检查证实,Karnofsky分级均在60分以上,全部为初治病例,引流组CR7例,PR20例,有效率90%;对照组CR3例,PR12例,有效率50%,两组经统计学处理有显著差异(X2=11.4285P<0.01),因两组所用药物不完全一致故以同等剂量的顺铂行对比观察,引流组21例,CRS例,PR14例,有效率90.4%;对照组21例,CR2例,PR9例,有效率52.3%,两组经统计学处理,有显著差异(X2=7.466P<0.01),引流组疗效好于对照组,值得推广应用.

     

    Abstract: Abstract From January 1990 to May 1993, we treated patients of lung cancer with hydrothorax by intubation of pleural cavity and sealing drainage of hydrothorax plus anticarcinogen injection intothe pleural cavity' The patients are divided into two groups--drainage and control (routine pleuralcentesis and pleural cavity anticarcinogen injection) group, and 30 cases in each group. All ofthe patients got confirmed diagnosis by hitology or cytology examination, and the KPS (KarnofskyPerfomnce Scale) of each patient is no less than 60 Points' All patients are treated for the firsttime. In the drainage group, there are 7 CR cases and 20 PR cases, the total effective rate is 90K 1but in the control group, only 3 CR cases and 12 PR cases, its total effeCtive rate is 50N. Thereare highly significant differences between the two groups by statistical analysis (X2=11. 4285, P0. 01 ). Since the drugs used in the two groups are not completely the same,we used equal dosesof DDP as the comparision. Among the 21 cases in the drainage group, 5 got CR, 14 PR, the effective rate is 90. 4% i but in the control group, among the 21 cases, only 2 got CR PR and 9 PR,its effective rate is 52. 3%' The statistical analysis showed that the two groups had hashly sgnificant differences (X2 = 7. 466, P0.01 ). Our result showed that the curative effect of the drainagegroup is better than the control group, and the drdsage method is worthy of spreading.

     

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