目的观察单药铂类化疗联合放疗治疗宫颈癌的疗效,比较奈达铂或顺铂化疗同步放疗对宫颈癌的近期疗效及不良反应。方法将2006年1月至2011年1月收治的48例宫颈癌患者按随机数字表法分为奈达铂组和顺铂组,每组各24例,两组均采用常规分割放疗及后装治疗,放疗总量8 000~8 500 Gy。奈达铂组患者从放疗第1天起给予奈达铂25 mg/m2静脉滴注,每周1次,共4~5个周期;顺铂组患者放疗第1天起给予顺铂25 mg/m2静脉滴注,每周1次,共4~5个周期。观察两组治疗效果。结果两组患者近期有效率均达100.00%,奈达铂组完全缓解20例(83.33%),顺铂组完全缓释19例(79.17%),两组比较,差异无统计学意义(P0.05);在不良反应方面,奈达铂组患者食欲减退、恶心、呕吐发生情况明显低于顺铂组,差异有统计学意义(P0.05);而白细胞和血小板减少例数,奈达铂组略高于顺铂组,差异无统计学意义(P0.05)。结论单药铂类化疗同步放疗对宫颈癌效果显著,奈达铂或顺铂化疗同步放疗对宫颈癌的疗效相似,但奈达铂致食欲减退、恶心、呕吐反应较顺铂轻,耐受性优于顺铂。
Objective To observe the clinical efficacy of single-agent platinum-based chemotherapy synchronized with radiotherapy for cervical cancer ,and compare the short-term curative effects and adverse reaction between nedaplatin or cisplatin respectively synchronized with radiotherapy for cervical cancer. Methods Totally 48 patients with cervical cancer were divided into nedaplatin group and cisplatin group based on random number table ,24 cases in each group. Both groups adopted conven-tional segmentation radiation treatment and after-loading radiotherapy,to a total dose of 8 000-8 500 Gy. The nedaplatin group was with intravenous drip of nedaplatin 25 mg/m2 from the first day,once a week,totally 4-5 times;the cisplatin group was with intravenous drip of cispaltin 25 mg/m2 from the first day,once a week,totally 4-5 times. The therapeutic effect in the two groups were observed. Results The short-term effective rate in both groups reached 100.00%. Complete remission of nedaplatin group occurr