论文部分内容阅读
1980~1993年,用(131)Ⅰ-抗AFP抗体治疗不能切除肝癌72例(153例次),治疗≥2次占47例,平均(131)Ⅰ量为31.87(6.4~97.4)Mci,中位数27.4mci(1013.8MBq)。结果:总有效率20.8%(15/72),治后一年生存率33.3%(22/66);治疗≥2,≥3,≥4次者有效率分别为29.8%(14/47)、60.0%(9/15)和70.0%(7/10);一年生存率依次为45.7%、73.3%和80.0%;瘤大小:≤7cm,7.1~10cm和>10cm患者,治后瘤缩小率分别为100.0%、76.9%和53.9%;一年生存率87.5%、48.0%和15.4%;经肝动脉灌注治疗有效率高于iv给药者(64.3%:15.2%),一年生存率亦高于iv(64.3%:37.5%)。本研究表明,(131)Ⅰ-抗AFP抗体导向治疗肝癌具有明显疗效。
From 1980 to 1993, 72 cases (153 cases) could not be excised with (131)I-anti-AFP antibody treatment, and 47 cases were treated ≥2 times with an average (131) I level of 31.87 (6.4-97). .4) Mci, median 27.4mci (1013.8MBq). Results: The total effective rate was 20.8% (15/72). The one-year survival rate after treatment was 33.3% (22/66). The treatment efficiency was ≥ 2, ≥ 3, and ≥ 4 times. The effective rate was 29.8%. (14/47), 60.0% (9/15), and 70.0% (7/10); one-year survival rates were 45.7%, 73.3%, and 80.0%, respectively; tumor size: In patients with ≤7cm, 7.1~10cm and >10cm, the tumor reduction rate after treatment was 100.0%, 76.9% and 53.9%, respectively; the one-year survival rate was 87.5%, 48.0% and 15 The rate of hepatic arterial infusion was higher than that of iv administration (64.3%:15.2%), and the 1-year survival rate was also higher than that of iv (64.3%: 37.5%). This study shows that (131) I-anti-AFP antibody-oriented treatment of liver cancer has a significant effect.