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[姑息性胃切除术后IV期胃癌患者5-氟尿嘧啶48小时输注的疗效]

[Efficacy of a 48-hour infusion of 5-fluorouracil in patients with stage IV gastric cancer after palliative gastrectomy].

作者信息

Koike A, Matsumoto K, Suzumura K, Saegusa J, Inamura Y, Kojima T, Kato K, Kanemitsu T, Naruse T, Yamamoto S

机构信息

1st Dept. of Surgery, Aichi Medical University.

出版信息

Gan To Kagaku Ryoho. 1990 Jul;17(7):1309-14.

PMID:2369135
Abstract

Efficacy of a 48-hour infusion of 5-FU in patients with stage IV gastric cancer was investigated. A one-cycle regimen consisted of a 48-hour infusion of 5-FU (30 mg/kg/24 hours) every week for 6 weeks. Fourteen patients with stage IV gastric cancer who underwent absolutely non-curative gastrectomy, received 5-FU infusion postoperatively. Ten of the 14 received more than 2 cycles. Survival rates in these patients (group I) were evaluated by Kaplan-Meier method and compared with those of matched pair controls (group II) who received other anticancer agents. Side effects were generally mild. Nausea during infusion was observed in only 3 cases. The 50% survival period was 393 days in group I and 135 days in group II, respectively. The survival curve in group I was significantly higher than in group II (p = 0.05). From these results, this treatment is considered to be very effective.

摘要

研究了48小时输注5-氟尿嘧啶(5-FU)对IV期胃癌患者的疗效。一个疗程方案为每周进行一次48小时的5-FU输注(30mg/kg/24小时),共6周。14例接受了绝对非根治性胃切除术的IV期胃癌患者术后接受了5-FU输注。14例患者中有10例接受了超过2个疗程的治疗。采用Kaplan-Meier法评估这些患者(I组)的生存率,并与接受其他抗癌药物的配对对照患者(II组)的生存率进行比较。副作用一般较轻。仅3例患者在输注期间出现恶心。I组和II组的50%生存期分别为393天和135天。I组的生存曲线明显高于II组(p=0.05)。根据这些结果,该治疗方法被认为非常有效。

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