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大肠癌术后门静脉置泵灌注化疗预防肝转移临床疗效分析
引用本文:陈轲,刘磊,刘俊海,郑淑欣,姚兴会.大肠癌术后门静脉置泵灌注化疗预防肝转移临床疗效分析[J].中华肿瘤防治杂志,2005,12(20):1571-1572.
作者姓名:陈轲  刘磊  刘俊海  郑淑欣  姚兴会
作者单位:临沭县人民医院普外科,山东,临沭,276700
摘    要:目的:探讨大肠癌术后门静脉置泵灌注化疗预防肝转移的临床疗效。方法:46例大肠癌患者随机分成治疗组和对照组,治疗组术后自门静脉化疗泵注药(5-FU、MMC和EPI),对照组自周围静脉注药。结果:治疗组5年生存率55·00%(11/20),肝转移率12·50%(3/24);对照组5年生存率33·33%(6/18);肝转移率27·27%(6/22);两组相比差异有统计学意义,P<0·01。结论:大肠癌术后门静脉置泵灌注化疗预防肝转移效果好。5年生存率明显提高。

关 键 词:结直肠肿瘤/药物疗法  肝肿瘤/治疗  肿瘤转移  药物疗法  联合
文章编号:1009-4571(2005)20-1571-02
修稿时间:2004年5月26日

Study on preventing from liver metastasis by injecting drug into chemotherapy pump in portal vein after colon cancer resection
CHEN Ke,LIU Lei,LIU Jun-hai,ZHENG Shu-xin,YAO Xing-hui.Study on preventing from liver metastasis by injecting drug into chemotherapy pump in portal vein after colon cancer resection[J].Chinese Journal of Cancer Prevention and Treatment,2005,12(20):1571-1572.
Authors:CHEN Ke  LIU Lei  LIU Jun-hai  ZHENG Shu-xin  YAO Xing-hui
Abstract:OBJECTIVE:To study the clinical efficiency of preventing from liver metastasis, by injecting drug into chemotherapy pump in portal vein after colon cancer resection. METHODS: Forty-six cases were divided randomly into the treat group and the control group. In the treat group, after operation, drugs (5-FU,MMC,EPI) were injected into chemotherapy pump in portal vein; in the group, the drugs were injected into around veins. RESULTS: In the treat group, survival rate of 5 years was 55.00%(11/20), liver metastasis rate was 12.50%(3/24); in the contrdst group: survival rate of 5 years was 33.33%(6/18), liver metastasis rate was 27.27%(6/22), P<0.01. CONCLUSIONS: The regime, injecting drugs into chemotherapy pump in portal vein after colon cancer resection has good effect for preventing liver metastasis. The survival rate of 5 years obviously improves.
Keywords:colorectal neoplasms/drug therapy  liver neoplasms/therapy  neoplasm metastasis  drug therapy  combination
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