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不同分割剂量放疗联合唑来膦酸治疗骨转移癌的临床研究
引用本文:石永刚. 不同分割剂量放疗联合唑来膦酸治疗骨转移癌的临床研究[J]. 中国现代医生, 2008, 46(18): 9-11
作者姓名:石永刚
作者单位:郑州大学第一附属医院放疗科,郑州,450052
摘    要:目的探讨不同分割剂量放疗联合唑来膦酸治疗骨转移癌的疗效。方法将110例骨转移癌患者随机分为3组。3组均静脉点滴唑来膦酸4mg。A组40例采用低分割照射,DT30Gy/10次/3周;B组37例采用常规分割,DT40Gy/20次,4周;C组33例不照射。结果(1)治疗结束时疼痛缓解总有效率为A组90.0%,B组86.5%,C组66.7%(A组与C组X^2=6.03,P〈0.05,B组与C组X^2=3.80,P〈0.05;A组与B组X^2=0.02,P〉0.05);(2)KPS评分变化为A组82.5%,B组70.3%,C组51.5%(A组与C组X^2=8.04,P〈0.05;B组与C组X^2=4.43,P〈0.05;A组与B组X^2=0.54,P〉0.05);(3)骨转移灶修复情况A组84.3%,B组76.9%,C组57.7%(A组与C组X^2=10.69,P〈0.05;B组与C组X^2=4.94,P〈0.05;A组与B组X^=1.17,P〉0.05)。结论唑来膦酸联合放疗治疗骨转移癌疗效优于单纯唑来膦酸,但是低分割照射治疗周期短、费用低。

关 键 词:放射疗法  唑来膦酸  骨转移癌

Clinical Study on Different Fraction Radiotherapy Combined with Zoledronic Acid in the Treatment of Cancer Patients with Bone Metastasis
SHI Yonggang. Clinical Study on Different Fraction Radiotherapy Combined with Zoledronic Acid in the Treatment of Cancer Patients with Bone Metastasis[J]. , 2008, 46(18): 9-11
Authors:SHI Yonggang
Affiliation:SHI Yonggang Department of Radiation Oncology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052
Abstract:Objective To evaluate the efficacy of different fraction radiotherapy combined with zoledronic acid for bone metastatic cancer.Methods 110 cases with bone metastatic cancer were randomized into 3 groups.All patients were treated with zoledronic acid,4 mg intravenously.The group A(40 cases) had received hypofraction:DT 30 Gy ten times for three weeks;the group B(37 cases) received conventional fraction:DT 40 Gy,twenty times for four weeks the group C(33 cases) no radiotherapy.Results(1)The total effective ra...
Keywords:Radiotherapy  Zoledronic acid  Bone metastatic cancer  
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