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化疗联合贝伐单抗和奥拉帕利治疗晚期卵巢癌的临床疗效及其对血清肿瘤标志物和T淋巴细胞功能的影响。

Clinical effects of chemotherapy combined with Bevacizumab and Olaparib in treating advanced ovarian cancer and its effect on serum tumor markers and T-lymphocyte functions.

作者信息

Liu Dan, Jiao Ying, He Lin, Yang Zhifeng

机构信息

Dan Liu Department of Oncology, Baoding Second Hospital, Baoding 071000, Hebei, China.

Ying Jiao Department of Oncology, Baoding Second Hospital, Baoding 071000, Hebei, China.

出版信息

Pak J Med Sci. 2025 Jun;41(6):1572-1578. doi: 10.12669/pjms.41.6.10843.

Abstract

OBJECTIVE

To evaluate the clinical efficacy of chemotherapy combined with bevacizumab and olaparib in treating advanced ovarian cancer and investigate the effect of such combination treatment on serum tumor markers and T-lymphocyte function.

METHODS

This was a retrospective study. A total of 120 patients with advanced ovarian cancer admitted to Baoding Second Hospital and Baoding First Central Hospital from January 2022 to June 2024 were randomly divided into two groups(n= 60 each group): the control group received standard paclitaxel and carboplatin chemotherapy(TP regimen), while the study group was administered bevacizumab infusions and oral olaparib, in addition to the exact treatment provided for the control group. Comparisons were made between the two groups regarding the clinical efficacy and adverse drug reactions.

RESULTS

The overall response rate was 92% and 68% in the study group and the control group, respectively, suggesting a difference of statistical significance(=0.00). Furthermore, post-treatment levels of CA153, CA125, CA199, and other markers were significantly lower in the study group than in the control group(all = 0.00). Meanwhile, the post-treatment levels of CD3, CD4, and CD4/CD8 were significantly higher in the study group compared to the control group (all = 0.00). Moreover, the post-treatment levels of TNF-a, CRP, IL-6, and other markers were significantly lower in the study group than in the control group (all = 0.00).

CONCLUSION

The combined use of conventional chemotherapy, bevacizumab, and olaparib demonstrates significant clinical efficacy in the treatment of advanced ovarian cancer, which can improve cellular immune function, lower tumor marker levels.

摘要

目的

评估化疗联合贝伐单抗和奥拉帕利治疗晚期卵巢癌的临床疗效,并探讨这种联合治疗对血清肿瘤标志物和T淋巴细胞功能的影响。

方法

这是一项回顾性研究。2022年1月至2024年6月在保定市第二医院和保定市第一中心医院收治的120例晚期卵巢癌患者被随机分为两组(每组n = 60):对照组接受标准紫杉醇和卡铂化疗(TP方案),而研究组除接受与对照组相同的治疗外,还给予贝伐单抗静脉输注和口服奥拉帕利。比较两组的临床疗效和药物不良反应。

结果

研究组和对照组的总缓解率分别为92%和68%,差异具有统计学意义(P = 0.00)。此外,研究组治疗后CA153、CA125、CA199等标志物水平显著低于对照组(均P = 0.00)。同时,研究组治疗后CD3、CD4和CD4/CD8水平显著高于对照组(均P = 0.00)。此外,研究组治疗后TNF-α、CRP、IL-6等标志物水平显著低于对照组(均P = 0.00)。

结论

传统化疗、贝伐单抗和奥拉帕利联合使用在治疗晚期卵巢癌方面显示出显著的临床疗效,可提高细胞免疫功能,降低肿瘤标志物水平。

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