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国产卡铂与顺铂治疗恶性卵巢肿瘤的疗效比较[J]. 肿瘤防治研究, 1994, 21(4): 231-233.
引用本文: 国产卡铂与顺铂治疗恶性卵巢肿瘤的疗效比较[J]. 肿瘤防治研究, 1994, 21(4): 231-233.
Compare carboplatin (CP) with cisplatin (DDP) in the treatment of advanced ovarian cancer[J]. Cancer Research on Prevention and Treatment, 1994, 21(4): 231-233.
Citation: Compare carboplatin (CP) with cisplatin (DDP) in the treatment of advanced ovarian cancer[J]. Cancer Research on Prevention and Treatment, 1994, 21(4): 231-233.

国产卡铂与顺铂治疗恶性卵巢肿瘤的疗效比较

Compare carboplatin (CP) with cisplatin (DDP) in the treatment of advanced ovarian cancer

  • 摘要: 采用国产卡铂和顺铂治疗恶性卵巢肿瘤68例,Ⅰc期4例,Ⅱ期11例,Ⅲ期36例,Ⅳ期5例,复发转移病人12例,随机分两组:卡铂用药组37例,腹腔化疗20例,全身化疗17例;顺铂用药组31例,腹腔化疗18例,全身化疗11例。卡铂治疗组有效率为59%;顺铂对照组有效率为52%,两组有效率相似(P>0.01)。卡铂腹腔化疗组有效率为60%,略高于其他各组。卡铂组胃肠反应较顺铂组轻,血液系统变化与顺铂组无明显差别,对肾损伤较顺铂轻。卡铂可作为治疗晚期卵巢癌病人的一线药物。

     

    Abstract: 68 patients with advanced ovarian Cancer had been treated in our hospital from June 1987 to June 1992. of them, 15 cases with stage Ⅱ, 38 cases with stage Ⅲ, 5cases with stage Ⅳ. 37 patients were treated by CP-containing regimens, 20 patience were administered by the intraperitoneal route (IP) with CF (CP+5-Fu), 17 by intravenous infusion (Ⅳ) with CVC (CP+VCR+CTX). 31 patients were treated by DDP-containing regimens. 18 by IP with PF (DDP+S-Fu), 13 by Ⅳ with PVC (DDP+VCR+CTX). The response rate was 59% to rnntaining CP regimens and 52% to containing DDP regimens. It has been demonstrated that CP produces results equivalent to those that can be achieved with DDP. In addition, gastrointeatinal reaction and renal toxicity were less severe in regimens containing CP than in regimens containing DDP. However, CP had more marked myelosuppessive effect.

     

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