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1、·490·J0URNALOFBASICANDCLINICALONCOLOGYVo1.26No.6Dec.20l3全身熱療聯(lián)合導(dǎo)管化療栓塞對中晚期肝癌的療效觀察張建國,鄭國寶(解放軍150醫(yī)院腫瘤科,河南洛陽471031)[摘要]目的觀察全身熱療聯(lián)合導(dǎo)管化療栓塞治療中晚期肝癌的療效及安全性。方法128例中晚期肝癌患者分為單純介入栓塞化療組(A組)和介入栓塞化療聯(lián)合全身熱療組(B組),其中A組64例給予5一氟尿嘧啶、表柔比星、絲裂霉素介入栓塞化療2周期,B組64例用同樣藥物介入栓塞化療,同時給予深度鎮(zhèn)靜下全身熱療,使全身溫度升至40~4
2、2℃,維持90min,2周期;觀察A組和B組患者的療效及毒副反應(yīng)。結(jié)果A組患者中,CR0例,PR29例,sD19例,PD16例,有效率為45.3%;B組患者中,CR0例,PR41例,SD18例,PD5例,有效率為64.1%;2組有效率比較差異有統(tǒng)計學(xué)意義(P<0.05)。m、IV度肝功能損害、。腎功能損害、骨髓抑制及胃腸道反應(yīng)發(fā)生率A組為25.3%、13.1%及18.5%;B組為23.9%、11.4%及20.1%,2組比較差異均無統(tǒng)計學(xué)意義(P>0.05)。結(jié)論全身熱療聯(lián)合導(dǎo)管化療栓塞治療中晚期肝癌安全有效。[關(guān)鍵詞]全身熱療;化療
3、栓塞;肝癌DOI:10.3969/j.issn.1673—5412.2013.06.010[中圖分類號]R735.7;R730.58[文獻(xiàn)標(biāo)識碼]A[文章編號]1673—5412(2013)06—0490—03EficacyofWholeBodyHyperthermiaCombinedwithTranscatheterHepaticArterialChemoembolizationforPatientswithAdvancedHepaticCarcinomaZhangJianguo,ZhengGuobao(DepartmentofO
4、ncology,the150thCentralHospitalofPLA,Luoyang471031,China)[Abstract]0bjectiveTodeterminetheshortereficacyandsecurityofwholebodyhypeahermiacombinedwithtranscatheterhepaticarterialchemoembolizationforthepatientswithadvancedhepaticcarcinoma.MethodsThe128patientswithadvance
5、dhepaticcarcinomaweredividedintotwogroups.The64patients(GroupA)receivedtranscatheterhepaticarterialchemoembolization.Theother64patients(GroupB)receivedwholebodyhype~hermiaandwithtranscatheterhepatica~efialchemoembolization.Wholebodyhyperthermiawasmaintainedat40-42℃for9
6、0minindeepcalmness.ResultsIntheGroupA,CRwasobservedin0patient,PRinthe29patients.SDinthe19patients,PDinthe16patients,andtheoverallresponseratewas45.3%;whileintheGroupB,thecorrespond—ingfigureswere0,41,18,5and64.1%,respectively.Thereweresignificantdifferencesintheoverall
7、responseratebetweenthetwogroups(P<0.05).TheincidencerateofgrademandIVabnormalliverfunction.a(chǎn)bnormalkidneyfunction,bonemarrowsuppressionandgastrointestinalreactionwere25.3%,13.1%and18.5%intheGroupA:while23.9%,11.4%and20.1%intheGroupB.nosignificantdifierencewasfoundinthe
8、incidenceratesoftox—icitiesbetweenthetwogroups(P>0.05).ConclusionWholebodyhyperthermiacombinedwithtranscatheterhe.pat