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[冷冻消融术在Ⅲ期非小细胞肺癌挽救性治疗中的临床研究]

[Clinical study of cryoablation in the salvage treatment of stage III non-small cell lung cancer].

作者信息

Li Yong, Guo Zhi, Wang Hai-Tao, Liu Fang, Ni Hong

机构信息

Department of Interventional Therapeutics, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2011 Aug 23;91(31):2205-7.

Abstract

OBJECTIVE

To evaluate the efficacy and safety of argon-helium cryoablation as a salvage therapy for the failure cases of non-small cell lung cancer (NSCLC) after radiochemotherapy.

METHODS

A total of 12 NSCLC patients (stage III) with a diagnosis of recurrence after radiochemotherapy received cryoablation. The endpoint objectives were overall response rate (RR), clinical benefit rate (CBR), 1-year survival rate, quality of life (QOL) and safety profile.

RESULTS

Among them, the overall response rate was 6/12 cases and the clinical benefit rate 7/12 cases at 12 months post-cryoablation. The 1-year survival rate was 10/12 cases. No significant complications or adverse reactions occurred during the process of cryoablation. As shown by the QOL score, the quality of life was satisfactory.

CONCLUSION

As a salvage treatment for the recurrence NSCLC cases after radiochemotherapy, cryoablation may achieve a high response rate, a favorable 1-year survival rate and a high safety profile. It has excellent prospects for clinical applications.

摘要

目的

评估氩氦刀冷冻消融术作为非小细胞肺癌(NSCLC)放化疗失败后的挽救治疗的疗效及安全性。

方法

12例经放化疗后诊断为复发的Ⅲ期NSCLC患者接受了冷冻消融治疗。终点指标为总缓解率(RR)、临床获益率(CBR)、1年生存率、生活质量(QOL)及安全性。

结果

冷冻消融术后12个月时,总缓解率为6/12例,临床获益率为7/12例。1年生存率为10/12例。冷冻消融过程中未发生明显并发症或不良反应。生活质量评分显示生活质量令人满意。

结论

作为NSCLC放化疗后复发病例的挽救治疗,冷冻消融术可获得较高的缓解率、良好的1年生存率及高安全性,具有良好的临床应用前景。

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