AIM: To research the natural course of idiopathic pulmonary fibrosis(IPF) with advanced non-small cell lung cancer(NSCLC) and the association between acuteMETHODS: From May 2007 through April 2011, 17 CT naive patient...AIM: To research the natural course of idiopathic pulmonary fibrosis(IPF) with advanced non-small cell lung cancer(NSCLC) and the association between acuteMETHODS: From May 2007 through April 2011, 17 CT naive patients with IPF and advanced NSCLC were enrolled. Patients were classified into best supportive care(BSC) group or CT group based on the patient's preference. Patients in the CT group received carboplatin(CBDCA)(AUC 5-6) plus paclitaxel(PTX)(175-200 mg/m2) on day 1 of each 21-d cycle as first-line therapy.RESULTS: All patients but one chose the CT group. In the CT group, the objective response rate was 38%. The most frequent toxicity ≥ grade 3 was neutropenia(88%). Two patients(12.5%) developed AE-IPF. The median progression-free survival, the median survival time and the 1-year survival rate were 4.1 mo, 8.7 mo and 35%, respectively. Second-line CT-related AE and CT-unrelated AE occurred in 2 and 3 patients(1: BSC group; 2: CT group), respectively. Seven(41%) of all patients developed AE-IPF throughout the clinical course, and 6 of 7 patients with AE-IPF died within one month.CONCLUSION: The incidence of AE-IPF was higher among IPF patients with advanced NSCLC than among those without NSCLC. CBDCA plus PTX regimen was tolerable and effective. However, AE-IPF has a fatal toxicity with or without CT in IPF patients with advanced NSCLC.展开更多
目的:研究不透明气泡层(opaque bubble layer,OBL)对飞秒激光小切口角膜基质透镜取出术(femtosecond small incision lenticule extraction,SMILE)患者视觉质量的影响。方法:采用前瞻性队列研究方法,依次纳入2015-06/09在解放军四七四...目的:研究不透明气泡层(opaque bubble layer,OBL)对飞秒激光小切口角膜基质透镜取出术(femtosecond small incision lenticule extraction,SMILE)患者视觉质量的影响。方法:采用前瞻性队列研究方法,依次纳入2015-06/09在解放军四七四眼科医院屈光手术中心行SMILE患者116例116眼,按照术中是否产生OBL分为OBL组(51眼)和对照组(65眼)。随访OBL组与对照组的研究对象在术前、术后1、3、6mo患者最佳矫正视力(BCVA)、调制传递函数截止空间频率(modulation transfer function cut off frequency,MTF_(cut off))、斯特列尔比(strehl ratio,SR)、眼内客观散射指数(objective scattering index,OSI)、全眼高阶像差(RMSH)、垂直彗差(C7)、水平彗差(C8)和球差(C12)等视觉质量指标的差异。结果:在术前及术后各个时间点上比较OBL组与对照组间BCVA的差异均无统计学意义(P>0.05),OBL组和对照组的BCVA组内各个时间点间比较发现术后3、6mo分别与术前相比差异有统计学意义(P<0.05),两组的BCVA在术后3、6mo均显著优于术前;OBL组和对照组内的SR,MTF_(cut off),OSI,C7,C12,RMSH 6个指标在各个时间点间比较差异有统计学意义(P<0.05),而C8指标在各个时间点间差异无统计学意义(P>0.05);RMSH指标在术后1mo时在OBL组与对照组间差异有统计学意义(P<0.05)。结论:SMILE手术过程中OBL的产生对术后患者视觉质量的恢复在术后6mo时无明显影响,因此SMILE手术过程中OBL的产生对患者视觉质量的影响较小。展开更多
基金Supported by The Clinical Research Support Center Kyush(http://www.cres-kyushu.or.jp/)
文摘AIM: To research the natural course of idiopathic pulmonary fibrosis(IPF) with advanced non-small cell lung cancer(NSCLC) and the association between acuteMETHODS: From May 2007 through April 2011, 17 CT naive patients with IPF and advanced NSCLC were enrolled. Patients were classified into best supportive care(BSC) group or CT group based on the patient's preference. Patients in the CT group received carboplatin(CBDCA)(AUC 5-6) plus paclitaxel(PTX)(175-200 mg/m2) on day 1 of each 21-d cycle as first-line therapy.RESULTS: All patients but one chose the CT group. In the CT group, the objective response rate was 38%. The most frequent toxicity ≥ grade 3 was neutropenia(88%). Two patients(12.5%) developed AE-IPF. The median progression-free survival, the median survival time and the 1-year survival rate were 4.1 mo, 8.7 mo and 35%, respectively. Second-line CT-related AE and CT-unrelated AE occurred in 2 and 3 patients(1: BSC group; 2: CT group), respectively. Seven(41%) of all patients developed AE-IPF throughout the clinical course, and 6 of 7 patients with AE-IPF died within one month.CONCLUSION: The incidence of AE-IPF was higher among IPF patients with advanced NSCLC than among those without NSCLC. CBDCA plus PTX regimen was tolerable and effective. However, AE-IPF has a fatal toxicity with or without CT in IPF patients with advanced NSCLC.
文摘目的:研究不透明气泡层(opaque bubble layer,OBL)对飞秒激光小切口角膜基质透镜取出术(femtosecond small incision lenticule extraction,SMILE)患者视觉质量的影响。方法:采用前瞻性队列研究方法,依次纳入2015-06/09在解放军四七四眼科医院屈光手术中心行SMILE患者116例116眼,按照术中是否产生OBL分为OBL组(51眼)和对照组(65眼)。随访OBL组与对照组的研究对象在术前、术后1、3、6mo患者最佳矫正视力(BCVA)、调制传递函数截止空间频率(modulation transfer function cut off frequency,MTF_(cut off))、斯特列尔比(strehl ratio,SR)、眼内客观散射指数(objective scattering index,OSI)、全眼高阶像差(RMSH)、垂直彗差(C7)、水平彗差(C8)和球差(C12)等视觉质量指标的差异。结果:在术前及术后各个时间点上比较OBL组与对照组间BCVA的差异均无统计学意义(P>0.05),OBL组和对照组的BCVA组内各个时间点间比较发现术后3、6mo分别与术前相比差异有统计学意义(P<0.05),两组的BCVA在术后3、6mo均显著优于术前;OBL组和对照组内的SR,MTF_(cut off),OSI,C7,C12,RMSH 6个指标在各个时间点间比较差异有统计学意义(P<0.05),而C8指标在各个时间点间差异无统计学意义(P>0.05);RMSH指标在术后1mo时在OBL组与对照组间差异有统计学意义(P<0.05)。结论:SMILE手术过程中OBL的产生对术后患者视觉质量的恢复在术后6mo时无明显影响,因此SMILE手术过程中OBL的产生对患者视觉质量的影响较小。
