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射频消融联合化疗对中晚期非小细胞肺癌的短期疗效分析

Short-term effect analysis of radiofrequency ablation combined chemotherapy on middle and late period non-small cell lung cancer.

作者信息

Yu Shuo, Wu Zhen Zhou, Si Hong Tao, Yang Sai, Liu Guang Mao, Zhao Xiao Dong

机构信息

Department of Oncological Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, P.R. China.

出版信息

Oncol Lett. 2016 Dec;12(6):4399-4402. doi: 10.3892/ol.2016.5276. Epub 2016 Oct 18.

Abstract

In this study, we investigated the effect of radiofrequency ablation (RFA) combined chemotherapy on middle and late period non-small cell lung cancer (NSCLC). In total, 85 cases of middle and late period NSCLC patients were selected, and were randomly divided into the RFA combined chemotherapy group, RFA treatment group and chemotherapy group. After treatment, the three groups were followed up for computed tomography (CT) scan, and were analyzed for the effect of RFA combined chemotherapy on middle and late period NSCLC. It was found that CT value of RFA combined chemotherapy group decreased significantly compared to before surgery (P<0.05). The CT value of the RFA group decreased significantly compared to before surgery (P<0.05). The CT value of chemotherapy group was not significantly changed compared to before surgery (P>0.05). The postoperative CT value of the RFA combined chemotherapy group and RFA group was smaller compared to that of the chemotherapy group (P<0.05). Effective rate [complete response (CR) + partial response (PR)] of RFA combined chemotherapy group was significantly higher than that of the EFA and chemotherapy groups (P<0.05). Effective rate (CR+PR) of the RFA group was significantly higher than that of the chemotherapy group (P<0.05). By contrast, the progressive rate (P) of RFA combined chemotherapy group was significantly lower than that of the RFA and chemotherapy groups (P<0.05). In conclusion, RFA combined chemotherapy has obvious effect on middle and late period NSCLC, and is safe and feasible.

摘要

在本研究中,我们调查了射频消融(RFA)联合化疗对中晚期非小细胞肺癌(NSCLC)的影响。总共选取了85例中晚期NSCLC患者,并将其随机分为RFA联合化疗组、RFA治疗组和化疗组。治疗后,对三组患者进行计算机断层扫描(CT)随访,并分析RFA联合化疗对中晚期NSCLC的疗效。结果发现,RFA联合化疗组的CT值较手术前显著降低(P<0.05)。RFA组的CT值较手术前显著降低(P<0.05)。化疗组的CT值与手术前相比无显著变化(P>0.05)。RFA联合化疗组和RFA组术后的CT值均小于化疗组(P<0.05)。RFA联合化疗组的有效率[完全缓解(CR)+部分缓解(PR)]显著高于RFA组和化疗组(P<0.05)。RFA组的有效率(CR+PR)显著高于化疗组(P<0.05)。相比之下,RFA联合化疗组的进展率(P)显著低于RFA组和化疗组(P<0.05)。总之,RFA联合化疗对中晚期NSCLC有明显疗效,且安全可行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5e/5228085/bf3172d4fa3c/ol-12-06-4399-g00.jpg

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