文章摘要
刘国东1 李欣1 孟维旭1 李佳航2 张卓航2.三氧化二砷栓塞联合肝动脉介入治疗转移性肝癌的疗效并33 例 临床观察*[J].,2014,14(8):1510-1512
三氧化二砷栓塞联合肝动脉介入治疗转移性肝癌的疗效并33 例 临床观察*
Arsenic Trioxide Embolization Combined with Hepatic Artery InterventionalTherapy for Metastatic Liver Cancer and 33 Cases Study*
  
DOI:
中文关键词: 转移性肝癌  三氧化二砷碘油  介入栓塞  化疗  效果
英文关键词: Metastatic liver cancer  Arsenic trioxide lipiodol  Interventional embolization  Chemotherapy  Clinical efficacy
基金项目:国家自然科学基金项目(30872464)
作者单位
刘国东1 李欣1 孟维旭1 李佳航2 张卓航2 1 沈阳军区勤联部第一分部第321 医院肿瘤科吉林白城1370002 第三军医大学临床医学系重庆400038 
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中文摘要:
      摘要目的:观察并探讨三氧化二砷碘油栓塞联合置管介入化疗治疗转移性肝癌的临床效果。方法:选取辽宁省肿瘤医院介入治 疗科2008-2010 年收治的转移性肝癌患者33 例,进行肝动脉造影及间接门脉造影,根据肝动脉造影或门脉造影结果,根据肝动脉 供血情况分别采取肝动脉化疗栓塞及肝动脉灌注化疗方法治疗,3-4 周为1 治疗周期,共完成4 个治疗周期,治疗结束后评价患 者临床有效率,随访半年、1 年、2 年患者生存率。结果:①介入治疗后,患者临床症状均改善,KPS得分明显高于化疗前(P< 0.05),临床总有效率81.82%。②随访半年、1 年、2 年生存率分别为90.91%、66.67%、33.33%,肝动脉化疗栓塞组患者中远期生存 率明显高于肝动脉灌注化疗的患者。结论:三氧化二砷可从多角度抑制癌细胞,临床应用安全有效;对于不能手术和不适宜手术 的转移性肝癌患者,根据肝动脉供血情况和特点选择合适的介入治疗,可获得满意疗效。
英文摘要:
      ABSTRACT Objective:The paper is to observe and explore clinical efficacy of arsenic trioxide embolization combined with hepatic artery interventional therapy in treatment of metastatic liver cancer. Methods:33 metastatic liver cancer patients from 2010 to 2012 of Liaoning Province Tumor Hospital were chosen as study objects, of which hepatic artery angiography and indirect portal vein angiography were performed, according to results of hepatic artery angiography or portal vein angiography, treatment of arsenic trioxide embolism chemotherapy of hepatic artery and hepatic arterial infusion chemotherapy were taken, 3-4 weeks for one therapeutic cycle, after total completion of 4 treatment cycles, clinical efficiency was noted and compared between 2 kinds of Interventional therapies, and survival rate for half a year, 1 years, 2 years was followed after treatment.Results: ①After interventional treatment, clinical symptoms of patients were all improved, KPS score was significantly higher than that of pre-treatment (P<0.05), and total clinical efficiency rate was 81.82%. ② Patients' survival rates for 6 months, 1 year, 2 year were 90.91%, 66.67%, 33.33% respectively, hepatic artery embolism chemotherapy patients with higher long-term survival rate than patients conducted hepatic arterial infusion chemotherapy. Conclusion:Arsenic trioxide can inhibit cancer cell from multiple perspectives, whose clinical application is effective. For metastatic liver cancer patients who were not suitable for operation, proper hepatic artery interventional therapy should be selected based on hepatic artery blood supply and other characteristics, which will get satisfactory curative effect.
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