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首页|期刊导航|中外女性健康研究|替吉奥联合TP化疗方案对中晚期宫颈癌患者免疫功能及肿瘤标志物的影响

替吉奥联合TP化疗方案对中晚期宫颈癌患者免疫功能及肿瘤标志物的影响OA

Effects of Tiggio combined with TP chemotherapy on immune function and tumor markers in patients with advanced cervical cancer

中文摘要英文摘要

目的:探讨联合方案(替吉奥+TP化疗)对中晚期宫颈癌患者的影响.方法:选取本院 2021 年 8 月至 2023 年 8 月收治的60 例中晚期宫颈癌患者,根据不同治疗方法分为两组,各 30 例.对照组给予TP化疗方案,观察组给予联合方案(替吉奥+TP化疗).对比两组近期临床疗效、毒副作用,并比较治疗前后炎症因子、免疫功能及肿瘤标志物变化.结果:经治疗,两组ORR占比比较无统计学差异(P>0.05),但观察组DCR占比 86.67%高于对照组 60.00%(P<0.05);治疗后,观察组TNF-α、TGF-β水平均低于对照组,观察组CD3+、CD4+、CD4+/CD8+均高于对照组,CD8+、CAl25、CEA、SCCA水平均低于对照组(均P<0.05);两组毒副作用发生率比较无统计学差异(P>0.05).结论:替吉奥联合TP化疗方案应用于中晚期宫颈癌患者中可有效提高疾病控制率,改善患者免疫功能及肿瘤标志物,抑制炎症反应,且不易增加毒副作用,值得临床参考与运用.

Objective:To explore the effect of a combined regimen(Tegio+TP chemotherapy)on patients with advanced cervical cancer.Methods:Sixty patients with advanced cervical cancer admitted to our hospital from August 2021 to August 2023 were selected and divided into two groups based on different treatment methods,with 30 cases in each group.The control group was given a TP chemotherapy regimen,while the observation group was given a combination regimen(tigio+TP chemotherapy).Compare the recent clinical efficacy and toxic side effects between two groups,and compare the changes in inflammatory fac-tors,immune function,and tumor markers before and after treatment.Results:After treatment,there was no statistically sig-nificant difference in the proportion of ORR between the two groups(P>0.05),but the proportion of DCR in the observation group was 86.67%higher than that in the control group,which was 60.00%(P<0.05);After treatment,the observation group TNF-α、TGF-βThe levels were all lower than the control group,and the observation group had higher levels of CD3+,CD4+,CD4+/CD8+than the control group.The levels of CD8+,CAl25,CEA,and SCCA were all lower than the control group(all P<0.05);There was no statistically significant difference in the incidence of toxic side effects between the two groups(P>0.05).Conclusion:The combination of Tegio and TP chemotherapy in patients with advanced cervical cancer can effectively improve disease control rate,improve immune function and tumor markers,inhibit inflammatory response,and not easily increase toxic side effects.It is worth clinical reference and application.

曾洪生

金乡县人民医院,山东 济宁 272200

临床医学

宫颈癌中晚期替吉奥TP免疫功能肿瘤标志物

Cervical cancerMiddle and late stageTeggioTPImmune functionTumor marker

《中外女性健康研究》 2024 (006)

24-27 / 4

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