Evaluation of HCPTd1,d14-double passaged intervening chemotherapy protocol for hepatocellular carcin

来源 :世界胃肠病学杂志(英文版) | 被引量 : 0次 | 上传用户:moke707
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
AIM: To establish a kind of standardization of the clinical chemotherapeutic prototypes for unresectable hepatocellular carcinomas (HCC).METHODS: 10-Hydroxycamptothecin (HCPT) was applied through transcatheter arterial embolization (TAE) to HCC patients who were categorized into three groups: (1) test group: treatment with HCPT twice (HCPT d1 and 14) through TAE and portal venous embolization. (2) Control Ⅰ: treatment with anticancer drugs without HCPT. (3) Control Ⅱ: treatment with HCPT as a major component in anticancer drugs once (HCPT d1). A set of comparisons between test groups and control Ⅰ and Ⅱ groups were performed before and after the treatment to study the effectiveness of each treatment, in terms of tumor volumes, dynamic variations in serum alpha-fetoprotein (AFP), gamma-glutamyl transferase hepatoma-specific band (GGT-Ⅱ), patient survival and adverse events.RESULTS: The general effectiveness rate of the test group reached 62.1% (72/116), remarkably higher than that of control Ⅰ (32.1%, 40/124) and control Ⅱ (54.7%, 47/56),(P<0.01 and P<0.05, respectively). Especially, the reduction rate or disappearance of the portal vein tumor emboli was as high as 88.4% (61/69) in the test group, in contrast with 13.9% (10/72) in control Ⅰ and 35.9% (18/51) in control Ⅱ (P<0.01 and P<0.01, respectively). After treatment, AFP decreased or ted to negative levels at 52.3% (34/65)in control I, 67.3% (35/52) in control Ⅱ, and 96.8% (60/62)in the test group. Also GGT-Ⅱ declined or became negative at 37.8% (28/74) in control Ⅰ, 69.5% (57/82) in control Ⅱ,and 94.7% (89/94) in test group (P<0.01 and P<0.05,respectively).CONCLUSION: We have designed a good protocol (test group) to treat HCC with excellent advantages of high efficiency, low cost, low toxicity and low adverse events and easy application. It could be recommended as one of the standardizations for HCC treatment in clinical practice.
其他文献
目的:研究微创脊柱创伤手术治疗脊柱创伤的临床效果.方法:将我院收治的脊柱创伤患者70例平均分为两组,对照组35例,采取传统开放手术治疗,观察组45例,采取微创手术治疗.结果:
轮状病毒(RV)是全世界儿童严重脱水性腹泻的最常见原因,也是婴幼儿急诊和死亡的第2大病因.RV的突变性强,存在季节性和地域性的差异,因此目前对RV的治疗还处于改善症状的阶段,
目的 探讨股骨小转子相关解剖数字化测量方法,为设计针对小转子骨折特点的股骨近端内固定系统提供解剖学依据.方法 对80例完整成人股骨标本行CT扫描,应用Mimics 10.01软件,利
期刊
许多新妈妈在生完宝宝之后都会遇到一个尴尬的问题一便秘.妈妈们在分娩期临近时,就可能会出现解不出大便的问题,以为生产之后这种不适会消失,没想到的时,这个问题反而愈演愈
期刊
期刊
纤维化可发生于多种器官,主要病理改变为器官组织内的纤维结缔组织增生和实质细胞减少,最终导致器官结构破坏和功能减退.由转化生长因子β1(TGF-β1)介导的信号通路在组织纤
Intra-abdominal fibromatosis (IAF) is a benign mesenchymal lesion that can occur throughout the gastrointestinal tract. Although rare, it is the most common pri
AIM: To investigate the antitumor and synergistic effect of Chinese medicine Bushen huayu jiedu recipe (recipe for invigorating the kidney, removing blood stasi
阐述了人文关怀护理在ICU的重要性及护患沟通在ICU护理中的应用,强调了人文关怀与护患沟通的相互关系,旨在改善护患关系,提高护理质量,促进患者康复.