恩度联合同步放化疗治疗非小细胞肺癌疗效及对外周血CTC、VEGF和3年生存期的影响
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Curative effect of endostar combined with concurrent chemoradiotherapy on-non-small cell lung cancer and its influences on peripheral blood CTC, VEGF levels and 3-year survival
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    摘要:

    目的 探讨恩度联合同步放化疗治疗非小细胞肺癌(NSCLC)疗效及对外周血循环肿瘤细胞(CTC)、血管内皮生长因子(VEGF)水平和3年生存期的影响。方法 选取我院2015年6月~2017年9月诊治的104例NSCLC患者为研究对象,根据治疗方案分为两组,将接受同步放化疗的49例患者纳入对照组,接受恩度联合同步放化疗治疗的55例患者纳入治疗组。比较两组患者治疗前后外周血CTC、VEGF、血清肿瘤标志物水平,并观察肿瘤细胞增殖转移情况以及不良反应。化疗后随访3年,统计生存情况。结果 治疗前两组外周血CTC阳性率和VEGF水平比较,差异无统计学意义(P>0.05),治疗后治疗组上述指标低于对照组(P<0.05);治疗前两组患者血清肿瘤标志物水平比较,差异无统计学意义(P>0.05),治疗后治疗组水平显著低于对照组(P<0.05);两组患者治疗前高迁移率族蛋白AT-hook2(HMGA2)、HMGBI和程序化细胞死亡分子5(PDCD5)水平比较,差异无统计学意义(P>0.05),治疗后治疗组HMGA2、HMGBJ水平显著低于对照组,PDCD5水平显著高于对照组(P<0.05);治疗组3年生存率以及生存时间高于对照组(均P<0.05);两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论 恩度联合同步放化疗应用于NSCLC患者中可降低外周血CTC、VEGF水平,抑制肿瘤细胞增殖转移,提高治疗效果,且不增加不良反应,可延长3年生存期。

    Abstract:

    Objective To study the curative effect of endostar combined with concurrent chemoradiotherapy on non-small cell lung cancer (NSCLC) and its influences on peripheral blood circulating tumor cells (CTC), vascular endothelial growth factor (VEGF) levels and 3-year survival. Methods A total of 104 NSCLC patients who were diagnosed and treated in the hospital from June 2015 to September 2017 were enrolled as the research objects. According to the treatment plans, they were divided into control group (49 cases, concurrent chemoradiotherapy) and treatment group (55cases, endostar combined with concurrent chemoradiotherapy). The levels of peripheral blood CTC, VEGF and erum tumor markers before and after treatment were compared between the two groups. The proliferation and metastasis of tumor cells, and adverse reactions were observed. They were followed up for 3 years after chemotherapy to statistically analyze the survival.Results There was no significant difference in positive rate of CTC or VEGF level in peripheral blood between the two groups before treatment (P>0.05), which were lower in treatment group than control group after treatment (P<0.05). There were no significant differences in levels of serum tumor markers between the two groups before treatment (P>0.05). There were no significant differences in levels of high mobility group protein AT-hook2 (HMGA2), HMGBI and programmed cell death molecule 5 (PDCD5) between the two groups before treatment (P>0.05). After treatment, the level of HMGA2 and HMGBI in the treatment group were significantly lower than those in the control group, and the level of PDCD5 was significantly higher than that in the control group (P<0.05). The 3-year survival rate and survival in treatment group were higher than those in control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion The application of endostar combined with concurrent chemoradiotherapy in NSCLC patients can reduce levels of peripheral blood CTC and VEGF, inhibit proliferation and metastasis of tumor cells, improve curative effect without increasing adverse reactions, and prolong 3-year survival.

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  • 在线发布日期: 2022-01-12
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