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口腔鳞癌TPF诱导化疗导致血小板减少症的初步研究

王祎 叶茂昌 王来平 李容新 周瑜 朱伟政 赵泽亮 彭晖

临床口腔医学杂志2017,Vol.33Issue(9):539-542,4.
临床口腔医学杂志2017,Vol.33Issue(9):539-542,4.DOI:10.3969/j.issn.1003-1634.2017.09.009

口腔鳞癌TPF诱导化疗导致血小板减少症的初步研究

The study of TPF induced thrombocytopenia in oral squamous cell carcinoma

王祎 1叶茂昌 1王来平 1李容新 1周瑜 1朱伟政 1赵泽亮 1彭晖1

作者信息

  • 1. 安徽医科大学附属省立医院口腔医学中心颌面外科 安徽 合肥 230001
  • 折叠

摘要

Abstract

Objective:To investigate the regularity and treatment measures of platelet(PLT)and mean platelet volume(MPV)in patients with oral squamous cell carcinoma after docetaxel-cisplatin-5-fluorouracil(TPF)induced chemotherapy.Methods:One hundred and thirty-two patients of oral squamous cell carcinoma between 2012~2016 were enrolled into this study.The platelet count and MPV variation during TPF chemotherapy were observed,and the 26 cases suffered from III-IV degree of bone marrow suppression(platelet is less than or equal to 50×109/L)were treated with Recombinant Human Interleukin-11 and Sheng Xuexiaoban capsules.Results:PLT decreased in the time of 6~10 days after induction chemotherapy,the median time was 7 days,while the average time was 7.2 days,with a"V"-shaped fluctuation pattern.The MPV decreased with the decrease of platelet,but rising earlier than platelet.24 cases were treated with Recombinant Human Interleukin-11 and Sheng Xuexiaoban capsules.PLT and MPV was recovered in 21 days after chemotherapy.Conclusion:The best time of treatment for CIT(chemotherapy-induced thrombocytopenia)may be 9 days after chemotherapy,and Recombinant Human Interleukin-11 and Sheng Xuexiaoban capsules treatment has sound efficacy to treat CIT.

关键词

口腔鳞状细胞癌/TPF方案/骨髓抑制/血小板减少症/血小板平均体积

Key words

Oral squamous cell carcinoma/TPF chemotherapy/Myelosuppression/Thrombocytopenia/Mean platelet volum

分类

医药卫生

引用本文复制引用

王祎,叶茂昌,王来平,李容新,周瑜,朱伟政,赵泽亮,彭晖..口腔鳞癌TPF诱导化疗导致血小板减少症的初步研究[J].临床口腔医学杂志,2017,33(9):539-542,4.

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