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去甲斑蝥酸钠联合肝动脉栓塞化疗术治疗中晚期肝癌的临床研究
引用本文:徐由锁,孟庆顺,苏峰,赵同壁.去甲斑蝥酸钠联合肝动脉栓塞化疗术治疗中晚期肝癌的临床研究[J].医学综述,2011,17(13).
作者姓名:徐由锁  孟庆顺  苏峰  赵同壁
作者单位:山东省单县中心医院消化科,山东,菏泽,274300
摘    要:目的观察去甲斑蝥酸钠(SNCTD)联合肝动脉栓塞化疗(TACE)术治疗中晚期肝癌的临床疗效及不良反应。方法选取我院2006年1月至2009年2月收治的128例原发性肝癌患者,随机分为治疗组(SNCTD联合TACE)64例与对照组(单纯TACE)64例,观察两组近期疗效、前3年生存率、治疗前后生活质量卡氏评分(KPS)及不良反应。结果治疗组与对照组治疗前后近期总有效率分别为82.81%、56.25%,治疗组前3年生存率分别为78.13%、65.63%、34.38%。对照组前3年生存率分别为46.88%、32.81%、14.06%,外周血象、生活质量KPS评分值均比治疗前有不同程度的提高,两组间差异均有统计学意义(P<0.05)。结论 SNCTD联合TACE术治疗中晚期肝癌能协同增效,对延长患者的生存时间,改善患者生活质量,降低粒细胞减少的发生方面有一定的临床价值。

关 键 词:肝癌  去甲斑蝥酸钠  肝动脉栓塞化疗

Clinical Study of Sodium Norcantharidin Combined with Transcatheter Hepatic Arterial Chemoembolization as Treatment for Advanced Liver Cancer
XU You-suo,MENG Qing-shun,SU Feng,ZHAO Tong-bi.Clinical Study of Sodium Norcantharidin Combined with Transcatheter Hepatic Arterial Chemoembolization as Treatment for Advanced Liver Cancer[J].Medical Recapitulate,2011,17(13).
Authors:XU You-suo  MENG Qing-shun  SU Feng  ZHAO Tong-bi
Institution:XU You-suo,MENG Qing-shun,SU Feng,ZHAO Tong-bi.(Department of Gastroenterology,Central Hospital in Shan County,Heze 274300,China)
Abstract:Objective To evaluate the clinical efficacy and side effects of the treatment of advanced liver cancer by sodium norcantharidin(SNCTD)combined with transcatheter hepatic arterial chemoembolization(TACE).Methods 128 patients with primary liver cancer were randomly divided into two groups:one group of 64patients received the treatment of SNCTD combined with TACE and the other 64 patients received the treatment of TACE.The term effect,3-year survival,the chang of quality of life and adverse effect before and a...
Keywords:Hepatic carcinoma  Sodium norcantharidin  Transcatheter hepatic arterial chemoembolization  
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