Wang X X
Department of Otolaryngology,Yulin No.2 Hospital,Yulin,719000,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Aug 5;30(15):1229-1231. doi: 10.13201/j.issn.1001-1781.2016.15.013.
The aim of this study is toinvestigate the clinical effect of radiotherapy and chemotherapy combined with cetuximab in the treatment of nasopharyngeal carcinoma.Seventy-eight cases of nasopharyngeal carcinoma patients were divided into control group(n=42) and treatment group(n=36).The control group was treated with radiotherapy and diamminedichloroplatinum;the treatment group was treated with radiotherapy and diamminedichloroplatinum combined with cetuximab.Short-term efficacy,survival time,and adverse reactions were documented during following up in both groups.The efficiency in the treatment group (94.44%) was significantly higher than that in the control group(78.57%), <0.05.There were no significant difference of adverse reaction including radiodermatitis,oral mucosa reaction,bone marrow inhibition,radiation induced brain injury between the two groups, >0.05.The medium survival time of the treatment group(55 months) was significantly longer than that of the control group(48 months), <0.05.4-year survival rate in treatment group(88.89%) was significantly higher than that in the control group(69.05%), <0.05.4-year diseases free survival(DFS) rate in treatment group(75%) was significantly higher than that in the control group (59.52%), <0.05.Radiotherapy and chemotherapy combined with cetuximab can significantly improve the treatment efficiency in patients with nasopharyngeal carcinoma,while do not lead to higher rate of adverse reactions.This treatment is worth being promoted in clinical application.
本研究旨在探讨放疗联合化疗及西妥昔单抗治疗鼻咽癌的临床效果。将78例鼻咽癌患者分为对照组(n = 42)和治疗组(n = 36)。对照组采用放疗及顺铂治疗;治疗组采用放疗、顺铂联合西妥昔单抗治疗。随访期间记录两组的近期疗效、生存时间及不良反应。治疗组有效率(94.44%)显著高于对照组(78.57%),P<0.05。两组放射性皮炎、口腔黏膜反应、骨髓抑制、放射性脑损伤等不良反应差异无统计学意义,P>0.05。治疗组中位生存时间(55个月)显著长于对照组(48个月),P<0.05。治疗组4年生存率(88.89%)显著高于对照组(69.05%),P<0.05。治疗组4年无病生存率(DFS)(75%)显著高于对照组(59.52%),P<0.05。放疗联合化疗及西妥昔单抗可显著提高鼻咽癌患者的治疗效果,且不会导致更高的不良反应发生率。该治疗方法值得在临床应用中推广。