Effects of recombinant human endostatin combined with intraleural injection of cisplatin on patients with non-small cell lung cancer complicated with blood pleural effusion

Shuwen Li
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引用次数: 1

Abstract

Objective To investigate the effects of recombinant human endostatin combined with intraleural injection of cisplatin in the treatment of non-small cell lung cancer complicated with blood pleural effusion. Methods Forty patients with non-small cell lung cancer complicated with bloody pleural effusion treated in Xinzhou People’s Hospital from January 2012 to December 2017 were selected. And they were divided into study group and control group according to the random number table method, with 20 cases in each group. The control group was treated with intrapleural injection of cisplatin, while the observation group was treated with recombinant human endostatin and cisplatin. The total efficacy and serum tumor markers, such as carbohydrate antigen 125 (CA125), carbohydrate antigen 199 (CA199) and carcinoembryonic antigen (CEA) were compared between the two groups. Results The total effective rate of the observation group was 80% (16/20), higher than 35% (7/20) of the control group (P 0.05). However, the serum tumor markers were improved in the two groups after treatment, and the improvement of the observation group was better than that of the control group (P 0.05). The 1-year survival rate of the observation group was 70% (14/20), higher than 35% (7/20) of the control group (P<0.05). Conclusions Recombinant human endostatin combined with cisplatin in the treatment of non-small cell lung cancer complicated with blood pleural effusion can improve the total effective rate and levels of serum tumor markers, with high safety. Key words: Non-small cell lung cancer; Bloody pleural effusion; Cisplatin; Recombinant human endostatin; Intrathoracic injection
重组人内皮抑素联合顺铂静脉注射治疗非小细胞肺癌合并血胸腔积液的疗效观察
目的探讨重组人内皮抑素联合顺铂静脉注射治疗非小细胞肺癌合并血胸腔积液的疗效。方法选择2012年1月至2017年12月忻州市人民医院收治的非小细胞肺癌合并血性胸腔积液患者40例。按随机数字表法分为研究组和对照组,每组各20例。对照组采用顺铂胸腔内注射治疗,观察组采用重组人内皮抑素联合顺铂治疗。比较两组患者的总疗效及血清肿瘤标志物碳水化合物抗原125 (CA125)、碳水化合物抗原199 (CA199)、癌胚抗原(CEA)。结果观察组总有效率为80%(16/20),高于对照组35%(7/20),差异有统计学意义(P < 0.05)。但两组患者治疗后血清肿瘤标志物均有改善,且观察组改善程度优于对照组(P < 0.05)。观察组患者1年生存率为70%(14/20),高于对照组35%(7/20),差异有统计学意义(P<0.05)。结论重组人内皮抑素联合顺铂治疗非小细胞肺癌合并血胸腔积液可提高总有效率和血清肿瘤标志物水平,安全性高。关键词:非小细胞肺癌;血性胸腔积液;顺铂;重组人内皮抑素;胸腔内注射
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