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[晚期肺癌的多模态治疗]

[Multimodality therapy of late stage lung cancer].

作者信息

Liao M, Zhao J, Zhou Y

机构信息

Shanghai Chest Hospital.

出版信息

Zhonghua Zhong Liu Za Zhi. 1995 Sep;17(5):384-6.

PMID:8697983
Abstract

A prospective randomized study of 80 cases of stage III lung cancer treated with different multimodality therapy was carried out. Life table and Kaplan-Meir curve were employed to calculate survival rate. Log rank-multivariate analysis and time t test were used to evaluate statistical values of the 80 cases, 40 SCLC were randomly treated with either chemotherapy (CT)-surgery-CT or CT-radiotherapy (RT)-CT. The year survival rates were better in the group treated with CT-surgery-CT, a statistical difference was observed in 2yr survival rate (P < 0.05). Thus, surgical resection for SCLC was better than RT after CT. The remaining 40 cases of NSCLC were randomly treated with either CT-RT-CT or RT-CT. Multivariate analysis showed a better statistical meaning in the 20 cases treated with CT-RT-CT than the other group, their 1, 2 year survival rates were 27%, 40% and 22%, 15%, respectively. Thus preradiative CT was beneficial for survival.

摘要

对80例III期肺癌患者进行了不同多模态治疗的前瞻性随机研究。采用生命表和Kaplan-Meir曲线计算生存率。使用对数秩多元分析和t检验评估这80例患者的统计值,40例小细胞肺癌(SCLC)患者被随机分为两组,分别接受化疗(CT)-手术-CT或CT-放疗(RT)-CT治疗。接受CT-手术-CT治疗组的年生存率更高,两组2年生存率存在统计学差异(P<0.05)。因此,SCLC患者在CT治疗后进行手术切除优于RT治疗。其余40例非小细胞肺癌(NSCLC)患者被随机分为两组,分别接受CT-RT-CT或RT-CT治疗。多变量分析显示,接受CT-RT-CT治疗的20例患者比另一组具有更好的统计学意义,他们的1年、2年生存率分别为27%、40%和22%、15%。因此,放疗前进行CT治疗有利于提高生存率。

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