摘要
Abstract
Aim:To investigate the efficacy and safety of three-dimensional conformal radiotherapy combined with different chemotherapy in the treatment of post-operative malignant glioma.Methods:A total of 68 postoperation patients with malignant glioma were collected,among whom,21 accepted performed three-dimensional conformal radiotherapy alone (RT group),24 accepted nimustine interstitial chemotherapy combined with RT (ACNU+RT group) and 23 accepted temozolomide chemotherapy concurrent combined with RT (TMZ+RT group).All patients were followed up for observation of median survival time, and 1, 2, 3-year survival rates.Results:The survival rates of 1,2 and 3 years of RT group were 47.6%(10/21),23.8%(5/21)and 15.0%(3/21),and the median survival time was 11.0(18.2~7.6)months. The survival rates of 1,2 and 3 years of ACNU+RT group were 75.0%(18/24),41.7%(10/24)and 20.8%(5/24),and the median survival time was 20.0(35.4~12.20)months.The survival rates of 1,2 and 3 years of TMZ+RT group were 73.9%(17/23),43.4%(10/23)and 21.7%(5/23),and the median survival time was 21.0(33.6~12.2) months.The median survival time of ACNU+RT group and TMZ+RT group were significantly longer than that of RT group(χ2L=8.313,8.825,P<0.05).Conclusion: Both ACNU+RT and TMZ+RT could be used for the comprehensive treatment of malignant glioma.关键词
恶性胶质瘤/手术/三维适形放疗/同步放化疗/间质化疗Key words
malignant glioma/surgery/three-dimensional conformal radiotherapy/concurrent chemoradiotherapy/interstitial chemotherapy分类
医药卫生