Ogawa J, Inoue H, Koide S, Kawada S, Shohtsu A
1st Dept. of Surgery, Tokai University, Kanagawa.
Gan To Kagaku Ryoho. 1988 Aug;15(8):2273-7.
Warfarin, Ticlopidine and UFT as postoperative adjuvant have been administered patients with stage III and IV lung cancer who underwent surgical resection. In a controlled trial, 55 patients were divided into two groups, one with anticoagulants and UFT (27 cases), the other with UFT alone (28 cases). The prognoses of the two groups were followed for 6 years. The anticoagulant group demonstrated a statistically greater interval from operation to recurrence the control group, although the recurrence rates and the interval from recurrence to death were almost the same between the two groups. Survival rates of anticoagulant group were always superior to those of control group after 12 months postoperatively, and the median survival was about twice that of the control group. Although survival rates between the two groups revealed no statistical difference, in patients with adenocarcinoma, the difference between the two groups was statistically significant.
华法林、噻氯匹定和优福定作为术后辅助用药,已应用于接受手术切除的Ⅲ期和Ⅳ期肺癌患者。在一项对照试验中,55例患者被分为两组,一组使用抗凝剂和优福定(27例),另一组仅使用优福定(28例)。对两组患者的预后进行了6年的随访。抗凝剂组从手术到复发的间隔时间在统计学上比对照组更长,尽管两组之间的复发率以及从复发到死亡的间隔时间几乎相同。术后12个月后,抗凝剂组的生存率始终优于对照组,中位生存期约为对照组的两倍。尽管两组之间的生存率没有统计学差异,但在腺癌患者中,两组之间的差异具有统计学意义。