Comparison of pulse methotrexate and pulse dactinomycin in the treatment of low-risk gestational trophoblastic neoplasia

Comparison of pulse methotrexate and pulse dactinomycin in the treatment of low-risk gestational trophoblastic neoplasia
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DOI:
10.1111/j.1479-828x.2005.00366.x
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发表时间:
2005-04-01
影响因子:
1.7
通讯作者:
Hanjani, P
Hanjani, P
中科院分区:
医学4区
文献类型:
--
作者:
Gilani, MM;Yarandi, F;Hanjani, P

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甲氨蝶呤和更生霉素是治疗低危妊娠滋养细胞肿瘤(LRGTN)的有效药物。为了比较这两种药物在LRGTN中的有效性,46例患者随机接受每周肌肉注射甲氨蝶呤30 mg/m2(n = 28)或静脉注射更生霉素1.25 mg/m2(n = 18),每2周一次。甲氨蝶呤组14例(50%)和更生霉素组16例(89%)达到完全缓解。放线菌素D更大的患者便利性和更少的就诊次数使其优于其他替代品,上级。
Methotrexate and dactinomycin are efficient drugs in the treatment of patients with low-risk gestational trophoblastic neoplasia (LRGTN). To compare the effectiveness of these two drugs in LRGTN, 46 patients were randomised to receive weekly intramuscular methotrexate at 30 mg/m(2) (n = 28) or intravenous dactinomycin at 1.25 mg/m(2) every 2 weeks (n = 18). Fourteen patients (50%) in the methotrexate group and 16 patients (89%) in the dactinomycin group achieved complete response. Greater patient convenience and a lower number of required visits make dactinomycin superior to other alternatives.