持续热灌注腹腔化疗在胃肠肿瘤治疗中的作用研究 |
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作者单位: | 广东省梅县人民医院普外科 广东梅县514011(宋小康,李加荣),广州医学院第二附属医院胃肠外科 广东广州510260(洪楚原) |
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摘 要: | 目的比较持续热灌注腹腔化疗 静脉化疗(HIPC IVC)、常规腹腔化疗 静脉化疗(IPC IVC)和单纯静脉化疗(SIVC)对于进展期胃肠肿瘤患者的疗效。方法将2003年1月~2007年2月间住院转移性胃癌患者53例随机分成3组。14位患者接受HIPC IVC,18位患者接受IPC IVC,21位患者接受SIVC,化疗毒副反应对症处理。2个周期以上评价疗效及毒副反应。结果HIPC IVC与IPC IVC或SIVC相比,缓解率、总体疗效有明显差异,HIPC在治疗转移性腹水方面有明显的优势。引起全身副作用比SIVC组小,而且多属于I~II级。结论HIPC IVC治疗方法对机体的免疫打击小,患者生活质量改善明显,临床受益率高。
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关 键 词: | 胃癌 HIPC IVC 临床研究 |
Clinical Research of Hyperthermic Intraperitoneal Chemoperfusion in Gastrintestineal Cancer Therapy |
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Authors: | SONG Xiaokang LI Jiarong HONG ChuyuanDepartmen of General Surgery Meixian People's Hospital Meixian Guangdong |
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Affiliation: | SONG Xiaokang1 LI Jiarong1 HONG Chuyuan21.Departmen of General Surgery,Meixian People's Hospital,Meixian,Guangdong 514011,2.Department of Gastrointestinal Surgery,The Second Hospital,Guangzhou Medicine School,Guangzhou 510260 |
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Abstract: | Objective To Clear-cut the different effects of HIPC IVC. IPC IVC SIVC to advanced gastrintestineal cancer. Methods We divided 53 patients into 3 groups. One section were given HIPC IVC,one section accepted IPC IVC,another one received SIVC. We valutioned the effects and para-responses after 2 circles. Results Comparing with SIVC,the effect of HIPC IVC are better,para-responses are smaller,hospitalization is shorter,the average fee is low. Comparing with IPC IVC,the effects are a little better,para-responses are correspondent,output /input is higher. Conclusion Comparing with IPC IVC and SIVC,HIPC IVC raises patients remission ratio,improves the quality of life,shortens days in hospital,saves the money of patients. |
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Keywords: | Gastrintestineal cancer HIPC IVC Clinical research |
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