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硼替佐米联合地塞米松或化疗治疗多发性骨髓瘤10例 被引量:1

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摘要 目的观察硼替佐米联合地塞米松或化疗治疗复发难治多发性骨髓瘤(MM)患者的疗效和不良反应。方法9例患者采用硼替佐米1.3mg/m^2,第1、4、8、11天,地塞米松20mg/m^2,第1、2、4、5、8、9、11、12天,沙利度胺100~200mg/d,第1天至第14天,其中1例85岁的老年患者使用硼替佐米加MP方案治疗,具体方案为:硼替佐米1.3mg/m^2,第1、4、8、11天,美法仑14mg/^2。,第1天至第4天,泼尼松60mg/m^2,第1天至第4天。结果中位随访9个月,其中3例患者接近完全缓解,6例患者部分缓解,1例患者轻微反应,病情稳定。最常见的不良反应为周围神经病变,10例中有4例,血小板减少2例,带状疱疹3例,胃肠道反应1例,乏力1例。均经对症治疗后缓解。结论对于复发难治的MM患者,硼替佐米联合地塞米松或化疗为一种安全有效的治疗手段。
作者 王丽昕
出处 《白血病.淋巴瘤》 CAS 2009年第9期563-564,共2页 Journal of Leukemia & Lymphoma
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同被引文献9

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