奥沙利铂联合亚叶酸钙/氟尿嘧啶治疗晚期胃癌的临床观察

    Oxaliplatin combined with leucovorin and 5-fluorouracil chemotherapy in treatment of advanced gastric cancer

    • 摘要: 目的:观察奥沙利铂(L-OHP)联合亚叶酸钙(LV)、氟尿嘧啶(5-Fu)治疗晚期胃癌的近期疗效和毒副作用。方法:35例均接受L-OHP 200 mg静脉滴注,第1天;LV 200 mg/m2静脉滴注30 min,然后给予5-Fu 200 mg/m2静脉推注,后续5-Fu 400mg/m2静脉滴注,第1~5天,4周重复,至少治疗2周期后判定疗效。结果:可评价疗效者34例,完全缓解2例,部分缓解14例,总有效率47.1%。可评价毒性患者34例,胃肠道反应为最主要毒副作用,其次为骨髓抑制白细胞减少、周围神经毒性。结论:L-OHP联合LV、5-Fu治疗晚期胃癌疗效较好,不良反应较轻能耐受,是晚期胃癌可供选择方案。

       

      Abstract: Objective: To explore the effects and side effects of oxaliplatin(L-OHP) combined with leucovorin(LV) and 5-fluorouracil(5-Fu) regimen on patients with advanced gastric cancer.Methods: Thirty-five patients with advanced gastric cancer were administered oxaliplatin 200 mg intravenously at day 1.LV 200 mg/m2 was infused intravenously for 1/2 hour,then 5-Fu 200 mg/m2 bolus was given,followed by 400 mg/m2 intravenous drip.The therapy lasted from day 1-5,and then repeated every 4 weeks.The results were evaluated after 2 cycles.Results: Of the thirty-five patients,complete response was observed in two cases and partial response in 14.The overall response rate achieved 47.1%.The main side effects were nausea,vomiting,myelosuppression and peripheral neurotoxicity.Conclusions: Oxaliplatin combined with LV/5-Fu is highly effective and well tolerable.It is a selective regimen for patients with advanced gastric cancer.

       

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