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目的:对恶性腹水患者采用体腔热循环灌注化疗的方法进行研究,并对其临床效果展开分析。方法:本次医学研究活动选择本院2015年3月份至9月份期间在我院就诊治疗的出现恶性腹水的患者共计46例,经检查均为癌症晚期患者,其中肺癌12例,肝癌10例,乳腺癌5例,胃癌5例,结肠癌5例,宫颈癌3例,卵巢癌3例,皮肤癌3例。按照患者的年龄、性别以及病症程度的不同,随机将患者分为两个实验组,分别为,治疗组:23例,在化疗中采用体腔热循环灌注化疗方法对胸腹部进行化疗。对照组:23例,采用体腔内局部灌注化疗的方法进行化疗。结果:经过阶段性治疗,治疗组:23例患者中,完全缓解8例;部分环节10例;好转2例;稳定2例;恶化1例;总有效率86.96%;对照组:23例患者中,完全缓解4例;部分环节8例;好转3例;稳定5例;恶化3例;总有效率65.22%;(P<0.05示差异有统计学意义。)结论:在对晚期癌症恶性腹水患者化疗中,采用体腔热循环灌注化疗法能够取得较好的临床效果,建议推广应用。
OBJECTIVE: To study the method of perfusion chemotherapy using thermal cycles in patients with malignant ascites and to analyze its clinical effect. Methods: A total of 46 patients with malignant ascites who were treated in our hospital from March 2015 to September 2015 in our medical research activity were selected. Among them, all were advanced cancer patients, of which 12 were lung cancer, 10 were liver cancer, 5 cases of breast cancer, 5 cases of gastric cancer, 5 cases of colon cancer, 3 cases of cervical cancer, 3 cases of ovarian cancer, 3 cases of skin cancer. Patients were randomly divided into two experimental groups according to the patient’s age, gender and the degree of illness: the treatment group, 23 cases, chemotherapy of chest and abdomen with chemotherapy of body cavity thermal cycle perfusion chemotherapy. Control group: 23 cases, using intra-body local infusion chemotherapy for chemotherapy. Results: In the treatment group, the complete remission was achieved in 8 cases in 23 cases, in 10 cases in partial treatment, in 2 cases in stable condition, in 2 cases in stable condition and in 1 case in deterioration group, with a total effective rate of 86.96%. In control group, 23 cases , Complete remission in 4 cases; partial link in 8 cases; improved in 3 cases; stable in 5 cases; exacerbation in 3 cases; total effective rate was 65.22%; (P <0.05 showed a significant difference.) Conclusions: In patients with advanced malignant ascites Chemotherapy, the use of body cavity thermal cycle perfusion chemotherapy can achieve better clinical results, it is recommended to promote the application.