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1991年1月~1994年7月以异环磷酰胺为主(IMVD方案)治疗晚期复发性或/和转移性癌22例。男14例,女8例。年龄25~70岁,中位数52岁。治疗客观缓解率68.2%,其中CR22.7%,PR45.5%。18例至今已生存1~2.5年,15例仍处于CR或PR。毒副反应主要是轻度恶心,镜下血尿,脱发和骨髓抑制。11例化疗前后加用G—CSF,有骨髓保护作用。本组无因治疗而引起的死亡。作者认为以IFO为主的化疗疗效满意,毒性较低。
From 1991 to July 1994, 22 cases of advanced recurrent or metastatic carcinoma were treated with ifosfamide (IMVD regimen). There were 14 males and 8 females. Age 25 to 70 years, median 52 years old. The objective response rate of treatment was 68.2%, including CR 22.7% and PR 45.5%. 18 cases have survived for 1 to 2.5 years so far, and 15 cases are still in CR or PR. The toxicities were mainly mild nausea, microscopic hematuria, hair loss and myelosuppression. Eleven patients were treated with G-CSF before and after chemotherapy, which had bone marrow protection. There were no deaths due to treatment in this group. The authors believe that IFO-based chemotherapy is satisfactory and less toxic.