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为了研究甲酰四氢叶酸钙使5—Fu增效对舌癌化疗的效果,作者从1996年开始应用甲酰四氢叶酸钙(CF—Ca)使5—Fu增效对舌癌化疗共32例。TNM分类,Ⅰ期4例,Ⅱ期15例,Ⅲ期11例,Ⅳ期2例。方法:第1~5天5—Fu600~700mg/m2。舌动脉灌注,同时CF—Ca60~70mg/m2静脉滴注;第六天水化;第七天顺铂(CDDP)80~90mg/m2静脉点滴。结果:28天评价疗效,CR6例,PR19例,总有效率为78%。结论:该方案疗效高,没有特别的副作用,完全适合舌癌的化疗。本文还就CF~Ca使5—Fu增效的机理进行了论述。
In order to study the effects of 5-formyl-tetrahydrofolate on synergistic effects of 5-Fu on tongue cancer chemotherapy, the authors applied calcium folinate (CF-Ca) to increase the efficacy of 5-Fu on tongue cancer chemotherapy since 1996. example. The TNM classification included 4 cases of stage I, 15 cases of stage II, 11 cases of stage III, and 2 cases of stage IV. Methods: From the 1st to the 5th day, 5-Fu600-700mg/m2. Tongue artery perfusion, while CF-Ca60 ~ 70mg/m2 intravenous infusion; the sixth day of hydration; the seventh day of cisplatin (CDDP) 80 ~ 90mg/m2 intravenously. Results: Efficacy was evaluated 28 days, CR6 cases, PR19 cases, the total effective rate was 78%. Conclusion: The program has high efficacy and no special side effects. It is completely suitable for chemotherapy of tongue cancer. This paper also discusses the mechanism of the synergism of 5-Fu with CF-Ca.