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同步放化疗治疗肺癌椎体转移30例临床观察[J]. 肿瘤防治研究, 2009, 36(08): 699-701. DOI: 10.3971/j.issn.1000-8578.2009.08.020
引用本文: 同步放化疗治疗肺癌椎体转移30例临床观察[J]. 肿瘤防治研究, 2009, 36(08): 699-701. DOI: 10.3971/j.issn.1000-8578.2009.08.020
Clinical Observation of Concurrent Chemoradiotherapy in Treating Lung Cancer Complicated Vertebral Metastasis of 30 Cases[J]. Cancer Research on Prevention and Treatment, 2009, 36(08): 699-701. DOI: 10.3971/j.issn.1000-8578.2009.08.020
Citation: Clinical Observation of Concurrent Chemoradiotherapy in Treating Lung Cancer Complicated Vertebral Metastasis of 30 Cases[J]. Cancer Research on Prevention and Treatment, 2009, 36(08): 699-701. DOI: 10.3971/j.issn.1000-8578.2009.08.020

同步放化疗治疗肺癌椎体转移30例临床观察

Clinical Observation of Concurrent Chemoradiotherapy in Treating Lung Cancer Complicated Vertebral Metastasis of 30 Cases

  • 摘要: 目的 探讨同步放化疗治疗肺癌椎体转移的临床疗效及毒副反应。 方法 对30例非小细胞肺癌并椎体转移、ECOG评分0~2分的患者采用DP方案(多西他赛75mg/m2+顺铂75mg/m2,静脉滴注,d1)全身化疗,同步椎体局部外照射,常规分割放疗,2.0Gy/次,1次/天,5次/周,共4周,总剂量为40Gy。 结果 治疗前后患者下肢步行能力明显改善,疼痛明显缓解,1、2年局控率、生存率分别为60.7%、46.4%和53.5%、35.7%,中位生存期14月,毒性反应主要表现为骨髓抑制、消化道反应及脱发。 结论 DP方案全身化疗并同步放疗治疗NSCLC并脊髓压迫症的患者,有较好的疗效,改善了患者的生存质量,毒性反应可耐受。

     

    Abstract: Objective To explore the clinical efficacy and adverse reaction of concurrent chemoradiotherapy on lung cancer complicated vertebral metastasis. Methods Thirty cases of NSCLC complicated vertebral metastasis,ECOG remark 0~2 score,underwent DP(Docetaxel 75mg/m2+DDP 75mg/m2,iv drip,d1)regimen chemotherapy,concurrent vertebras external irradiation,applied conventional radiotherapy,2Gy/fraction/day,5 fractions/week,for 4 weeks with total dose 40Gy. Results After the treatment,the motor function of lower extremity was improved and pain relieved,both showed significant differences(P<0.05),local control rate of 1 and 2 year was 60.7%,46.4%,survival rate of 1 and 2 year was 53.5%,35.7%,median survival time was 14 months,the major toxicity was myelosupression,nausea/vomiting and alopecia. Conclusion DP regimen chemotherapy combined concurrent vertebras radiotherapy in treating spinal cord compression shows good efficacy,improves the quality of life and the toxicity can be tolerated.

     

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