替吉奥联合白蛋白紫杉醇在一线治疗晚期胰腺癌中的研究进展

王 晶, 李国 元*
青海大学附属医院

摘要


胰腺癌早期缺乏特异性的临床表现,恶性程度较高,是消化系统常见的恶性肿瘤之一。外科手术是延长
胰腺癌患者生存期的最佳选择,但只有15% ~ 20%的胰腺癌患者能接受手术治疗。目前晚期胰腺癌患者的首选治
疗方式是以吉西他滨为基础的化疗,但仅使晚期胰腺癌患者的平均生存期延长为5.5 ~ 7个月,疗效有限,且不良反
应较大。目前,该方案已被部分指南推荐用于体能状态较差的老年患者。近几年,多项研究证实白蛋白结合型紫杉
醇联合替吉奥治疗晚期胰腺癌可以提高患者的PFS和OS(分别为6.2个月和13.6个月)。疗过程中最常出现的不良反
应较少,为晚期胰腺癌患者的治疗带来了新希望。本文综述了近年来替吉奥联合白蛋白紫杉醇在晚期胰腺癌治疗中
的研究进展。

关键词


替吉奥(S-1);白蛋白紫杉醇(nab-paclitaxel);晚期胰腺癌;疗效;安全性

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