雷替曲塞联合伊立替康与FOLFIRI方案二线治疗晚期结直肠癌的近期疗效

作者:张微;邹玺;胡玥;李烜;胡守友;王瑞平 刊名:现代肿瘤医学 上传者:许一帆

【摘要】目的:观察雷替曲塞联合伊立替康方案治疗晚期结直肠癌的近期疗效和安全性。方法:经病理组织学或细胞学确诊的44例晚期结直肠癌患者随机分为对照组(22例)和实验组(22例)。对照组,伊立替康180mg/m2静滴90min d1,亚叶酸钙400mg/m2静滴d1,5-氟尿嘧啶400mg/m2静推d1,2000mg/m2静滴46h d1。实验组,伊立替康180mg/m2静滴90min d1,雷替曲塞3mg/m2静滴15min d1,21天为1周期,2周期后评价疗效。结果:对照组PR 3例、SD 5例、PD 14例,实验组PR 4例、SD 6例、PD 12例,两组均无CR病例。两组有效率(RR)分别为13.6%和18.2%,疾病控制率(DCR)分别为36.4%和45.5%(P>0.05)。对照组乏力、周围神经毒性、黏膜炎和脉管炎发生率分别为72.7%、31.8%、36.4%和27.3%(P<0.05),实验组血红蛋白减少发生率为59.1%(P<0.05)。结论:雷替曲塞联合伊立替康方案与FOLFIRI方案的近期疗效相当,但不良反应更轻,可以作为晚期结直肠癌的有效姑息治疗方案。

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