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环磷酰胺联合长春瑞滨治疗晚期小细胞肺癌的效果及 MRI 前后变化的研究。

Study on Effects of Cyclophosphamide Combined with Vinorelbine in Advanced Small Cell Lung Cancer and Anteroposterior Changes in MRI.

机构信息

Pharmacy, Shandong Haiyang Traditional Chinese Medicine Hospital, Yantai 265100, Shandong, China.

Department of Imaging, Yantai Mountain Hospital, Yantai 264001, Shandong, China.

出版信息

Contrast Media Mol Imaging. 2022 Aug 8;2022:3104879. doi: 10.1155/2022/3104879. eCollection 2022.

Abstract

OBJECTIVE

To explore the effects of cyclophosphamide combined with vinorelbine in advanced small cell lung cancer (SCLC) and anteroposterior changes in MRI.

METHODS

The clinical data of 90 patients with advanced SCLC admitted to our hospital from April 2020 to April 2021 were retrospectively analyzed. They were divided into the control group and the study group according to the order of admission, with 45 cases in each group. The control group received the routine treatment, while the study group was treated with cyclophosphamide and vinorelbine to compare the indexes of imaging data and clinical indicators between the two groups before and after treatment.

RESULTS

There was no significant difference in the indexes of imaging data between the two groups before treatment ( > 0.05), and the indexes of imaging data in the study group were visibly lower than those in the control group after treatment ( < 0.001). The DCR in the study group was significantly higher than that in the control group after treatment ( < 0.05), while the QLQ-C30 scores and serum indices of the study group after treatment were significantly lower than those of the control group ( < 0.001).

CONCLUSION

Patients with advanced SCLC were treated with cyclophosphamide and vinorelbine, which can effectively improve the quality of life and reduce the expression of inflammatory factors. This treatment model has a higher application value, and the treatment value is also reflected compared with the routine treatment. At the same time, the permeability parameters obtained by MRI can predict the therapeutic effects of cyclophosphamide and vinorelbine, and further studies are helpful to establish a better solution for patients.

摘要

目的

探讨环磷酰胺联合长春瑞滨治疗晚期小细胞肺癌(SCLC)的效果及 MRI 前后的变化。

方法

回顾性分析 2020 年 4 月至 2021 年 4 月我院收治的 90 例晚期 SCLC 患者的临床资料,按入院顺序分为对照组和观察组,各 45 例。对照组给予常规治疗,观察组给予环磷酰胺联合长春瑞滨治疗,比较两组治疗前后影像学数据及临床指标。

结果

两组治疗前影像学数据指标比较,差异无统计学意义(>0.05),治疗后观察组影像学数据指标均明显低于对照组(<0.001)。观察组治疗后疾病控制率明显高于对照组(<0.05),生活质量量表(QLQ-C30)评分及血清学指标均明显低于对照组(<0.001)。

结论

晚期 SCLC 患者采用环磷酰胺联合长春瑞滨治疗,可有效提高生活质量,降低炎症因子表达,该治疗模式较常规治疗具有更高的应用价值,同时 MRI 获得的渗透性参数可预测环磷酰胺和长春瑞滨的治疗效果,进一步研究有助于为患者建立更好的解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d434/9377958/b509562c3008/CMMI2022-3104879.001.jpg

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