国际肿瘤学杂志
國際腫瘤學雜誌
국제종류학잡지
JOURNAL OF INTERNATIONAL ONCOLOGY
2013年
7期
503-506
,共4页
吴玉立%吕超%郑铎%吴硕东
吳玉立%呂超%鄭鐸%吳碩東
오옥립%려초%정탁%오석동
结直肠肿瘤%药物疗法%贝伐珠单抗
結直腸腫瘤%藥物療法%貝伐珠單抗
결직장종류%약물요법%패벌주단항
Colorectal neoplasms%Drug therapy%Bevacizumab
结直肠癌目前常规化疗方案为FOLFOX方案(氟尿嘧啶、亚叶酸钙、奥沙利铂),大量临床试验证明贝伐珠单抗联合FOLFOX方案治疗恶性肿瘤安全有效,但有高血压、神经毒性、胃肠道出血和穿孔等不良反应产生.对转移性结直肠癌患者应用此联合方案对整体生存时间、肿瘤应答率和生存质量进行的研究得出了不同的结论,其安全性和有效性仍需大样本随机对照试验或Meta分析来进一步研究证明.
結直腸癌目前常規化療方案為FOLFOX方案(氟尿嘧啶、亞葉痠鈣、奧沙利鉑),大量臨床試驗證明貝伐珠單抗聯閤FOLFOX方案治療噁性腫瘤安全有效,但有高血壓、神經毒性、胃腸道齣血和穿孔等不良反應產生.對轉移性結直腸癌患者應用此聯閤方案對整體生存時間、腫瘤應答率和生存質量進行的研究得齣瞭不同的結論,其安全性和有效性仍需大樣本隨機對照試驗或Meta分析來進一步研究證明.
결직장암목전상규화료방안위FOLFOX방안(불뇨밀정、아협산개、오사리박),대량림상시험증명패벌주단항연합FOLFOX방안치료악성종류안전유효,단유고혈압、신경독성、위장도출혈화천공등불량반응산생.대전이성결직장암환자응용차연합방안대정체생존시간、종류응답솔화생존질량진행적연구득출료불동적결론,기안전성화유효성잉수대양본수궤대조시험혹Meta분석래진일보연구증명.
The common therapy of colorectal cancer is FOLFOX scheme,which contains flurouracil,leucovorin and oxaliplatin.Numerous clinical trials have demonstrated that bevacizumab combined with FOLFOX scheme in cancer's therapy is safe and effective.But the adverse reactions including hypertension,neurovirulence,gastrointestinal bleeding and perforation are raised up.Scholars have carried out a series of studies for the overall survival times,tumor response rates and survival qualities for the patients with metastatic colorectal cancer which using the joint scheme,but they draw different conclusions the usefulness and safety of the joint scheme still need more RCT and meta-ananlysis to be proved.