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[1970年至1982年急性髓性白血病的治疗结果]

[Therapeutic results in acute myelogenous leukemia in the years from 1970 to 1982].

作者信息

Kurrle E, Hoelzer D, Heimpel H

出版信息

Folia Haematol Int Mag Klin Morphol Blutforsch. 1985;112(5):698-709.

PMID:2416646
Abstract

In a retrospective study, three groups of patients with acute myeloid leukaemia were analyzed in respect to the outcome of remission induction therapy: group I (vincristine, daunorubicin and prednisone) was treated between 1970 and 1976, group II (daunorubicin and cytosine-arabinoside) between 1976 and 1980 and group III (daunorubicin, cytosine-arabinoside, 6-thioguanine and consolidation therapy with cyclophosphamide, vincristine, cytosine-arabinoside and prednisone) between 1980 and 1982. Complete remissions were achieved in 49% (group I), 46% (group II) and 65% (group III) of the patients (p greater than 0.05, chi-square test). The mortality rate of the remission induction therapy was significantly reduced from 27% in group I to 15% and 13% in group II and III, respectively (p less than 0.05, chi-square test). The median remission duration increased significantly from four months (group I) to nine months (group III) (p less than 0.05, log-rank test). The long term results were about the same in the three groups. After three years, the proportion of patients being still in first remission was less than 10% in group I and II 13% in group III.

摘要

在一项回顾性研究中,对三组急性髓细胞白血病患者的缓解诱导治疗结果进行了分析:第一组(长春新碱、柔红霉素和泼尼松)于1970年至1976年接受治疗,第二组(柔红霉素和阿糖胞苷)于1976年至1980年接受治疗,第三组(柔红霉素、阿糖胞苷、6-硫鸟嘌呤以及环磷酰胺、长春新碱、阿糖胞苷和泼尼松的巩固治疗)于1980年至1982年接受治疗。三组患者的完全缓解率分别为49%(第一组)、46%(第二组)和65%(第三组)(P>0.05,卡方检验)。缓解诱导治疗的死亡率从第一组的27%显著降低至第二组的15%和第三组的13%(P<0.05,卡方检验)。缓解持续时间的中位数从第一组的四个月显著增加至第三组的九个月(P<0.05,对数秩检验)。三组的长期结果大致相同。三年后,第一组和第二组仍处于首次缓解的患者比例低于10%,第三组为13%。

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