[1]曹 非,王 艳,刘长富,等.氩氦冷冻消融联合全身化疗治疗ⅢB/Ⅳ期肺鳞状细胞癌的疗效分析 [J].介入放射学杂志,2018,27(11):1045-1050.
 CAO Fei,WANG Yan,LIU Changfu,et al.Percutaneous argon- helium cryoablation combined with systemic chemotherapy in the treatment of stage ⅢB/Ⅳ lung squamous cell carcinoma: analysis of curative effect[J].journal interventional radiology,2018,27(11):1045-1050.
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氩氦冷冻消融联合全身化疗治疗ⅢB/Ⅳ期肺鳞状细胞癌的疗效分析 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年11期
页码:
1045-1050
栏目:
非血管介入
出版日期:
2018-11-25

文章信息/Info

Title:
Percutaneous argon- helium cryoablation combined with systemic chemotherapy in the treatment of stage ⅢB/Ⅳ lung squamous cell carcinoma: analysis of curative effect
作者:
曹 非 王 艳 刘长富 于海鹏 杨雪玲 司同国 郭 志
Author(s):
CAO Fei WANG Yan LIU Changfu YU Haipeng YANG Xueling SI Tongguo GUO Zhi.
Department of Interventional Therapy, Cancer Hospital of Tianjin Medical University, National Clinical Research Center of Cancer, Key Laboratory of Cancer Prevention and Therapy of Tianjin, Tianjin 300060, China
关键词:
【关键词】 冷冻消融 肺鳞状细胞癌 静脉化疗 ⅢB/Ⅳ期
文献标志码:
A
摘要:
【摘要】 目的 探讨氩氦冷冻消融联合全身化疗治疗晚期肺鳞状细胞癌的疗效及安全性。方法 选取 2014年1月至2017年1月就诊的77例ⅢB/Ⅳ期肺鳞状细胞癌患者,按治疗方案不同分为对照组和联合治疗组。对照组43例,单纯给与全身静脉化疗;联合治疗组 34例,给予肺冷冻消融治疗和全身静脉化疗。比较两组治疗客观缓解率,疾病控制率,疾病无进展时间(PFS),总生存时间(OS),不良反应发生率及生活质量变化情况。结果 联合治疗组客观缓解率(ORR)64.7%,疾病控制率(DCR)85.3%,较对照组客观缓解率41.9%,疾病控制率67.4%明显未高,两组比较差异有统计学意义(P<0.05)。联合治疗组患者中位PFS 10个月(95%CI:8.69~11.31个月),中位OS 20个月(95%CI:17.79~22.20个月),对照组患者中位PFS 7个月(95%CI:6.07~7.92个月),中位OS 15个月(95%CI:13.62~16.38个月),两组比较差异有统计学意义。两组化疗后不良反应发生情况无显著差异(P>0.05),可见冷冻消融治疗不增加化疗不良反应发生率,但能明显提高患者生活质量(P<0.05)。结论 与单纯静脉化疗相比,氩氦冷冻消融联合全身静脉化疗治疗晚期肺鳞癌患者疗效显著,在不增加化疗不良反应发生率基础上,能显著改善患者生活质量,明显延长患者PFS和OS。

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备注/Memo

备注/Memo:
(收稿日期:2018-08-14)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2018-11-16