首页|32P胶体联合顺铂胸腔灌注治疗恶性胸腔积液临床观察

32P胶体联合顺铂胸腔灌注治疗恶性胸腔积液临床观察

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目的:探讨采用胸腔内灌注胶体磷酸32P铬注射液(32P胶体)和顺铂治疗恶性肿瘤大量胸腔积液的临床疗效和副反应. 方法:46例恶性胸腔积液患者随机分为两组,治疗组25例,对照组21例.在胸腔闭式引流使胸水量减少到一定程度后,治疗组分别采用32P胶体和顺铂胸腔内灌注治疗,对照组以32P胶体单纯胸腔内灌注治疗. 结果:治疗组可统计病例24例,临床反应完全缓解(CR)11例(45.8%),部分缓解(PR)9例(37.5%),无效(NC)4例(16.7%),总有效率83.3%,其中5例CR和2例PR患者经2 mo的观察无明显的复发;对照组CR 1例(4.8%),PR 7例(33.3%),NC 13例(61.9%).治疗组总有效率明显高于对照组(X2=9.75,P<0.01),副作用主要是轻度全身反应和轻度骨髓抑制. 结论:中心静脉导管胸腔闭式引流后胸腔内注入32P胶体及顺铂是临床上治疗恶性胸腔积液的有效方法,无严重不良反应.
Clinical observation of colloidal chromium phosphate combined with cisplatin in treatment of malignant pleural effusion
AIM: To investigate the clinical efficacy and the side effects of intrapleural injection with colloidal chromium phosphate (32P) plus cisplatin for treating malignant pleural effusion. METHODS: Forty-six patients with malignant pleural effusion were randomly divided into the therapeutic group (n = 25) and the control group (n = 21). Cisplatin and 32P were injected into pleural cavity in therapeutic group, and only 32P was given in control group. RESULTS: Twenty-four patients were evaluated in therapeutic group with clinical response, including 45.8%(11/24), PR 37.5% (9/24), NC 16.7% (4/24). The totle effective rate is 83.3%. There were no recurrence of 5 CR patients and 2 PR patients after 2 months follow-up. The clinical response in control group were CR 4.8% (1 case) , PR 33.3% (7 cases) , NC 61.9% (13 cases). The total effective rate in therapeutic group was higher than those in control group (χ2 = 9.75, P < 0.01). The main side effects among therapeutic course were mild systemic reaction and mild bone marrow suppression. CONCLUSION: Intrapleural injection with 32P combined with cisplatin seem to be an effective method for treating malignant pleural effusion without serious complication.

malignant pleural effusioncolloidal chromium phosphate (32P)cisplatinintrapleural injection

戴儒奇、李诗运、钟晓捷

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海南省人民医院,核医学科,海南,海口,570311

海南省人民医院,颈胸肿瘤外科,海南,海口,570311

恶性胸腔积液 32P胶体 顺铂 胸腔内灌注

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(18)
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