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目的 评价博莱霉素、吡喃阿霉素、VP -16、顺铂联合化疗 (BTEP)方案对恶性滋养细胞肿瘤的疗效和副作用。方法 对 1996年 4月至 2 0 0 0年 3月间 17例复治的恶性滋养细胞肿瘤进行回顾性分析 ,总结近期治愈率和总有效率。结果 17例中 ,治愈 10例 ,有效 4例 ,近期治愈率为 5 8 8% ,总有效率为 82 4%。恶心、呕吐、骨髓抑制为最常见的毒副反应 ,经对症治疗后均可耐受化疗。结论 BTEP联合化疗是治疗复治的恶性滋养细胞肿瘤的有效方法 ,副反应小 ,病人易于接受。
Objective To evaluate the efficacy and side effects of bleomycin, pirarubicin, VP-16, cisplatin combined with chemotherapy (BTEP) regimen on malignant trophoblastic tumors. Methods A retrospective analysis of 17 relapsed malignant trophoblastic tumors between April 1996 and March 2000 was conducted to summarize the short-term cure rate and total effective rate. Results Of the 17 cases, 10 were cured and 4 were effective. The short-term cure rate was 58.8% and the total effective rate was 82.4%. Nausea, vomiting and myelosuppression are the most common toxicities and can be tolerated by chemotherapy after symptomatic treatment. Conclusion BTEP combined with chemotherapy is an effective method for the treatment of retreated malignant trophoblastic tumors. The side effects are small and the patients are easy to accept.