首页|含雷替曲塞化疗方案的介入手术在中晚期肝细胞癌治疗中的研究进展

含雷替曲塞化疗方案的介入手术在中晚期肝细胞癌治疗中的研究进展

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肝细胞癌(HCC)是最常见的原发性肝癌,因其不易被察觉,大多数患者确诊时已处于中晚期,失去根治性手术切除机会.介入手术是中晚期不可切除HCC的有效治疗方式,主要包括经导管动脉化疗栓塞(TACE)和肝动脉灌注化疗(HAIC),但介入手术中应用哪种化疗药物尚需要探讨.多项研究证实了含雷替曲塞化疗方案的介入手术在局部区域治疗中的积极效果,但含雷替曲塞的介入性化疗方案治疗HCC的最佳时机、有效性和安全性尚不明确,仍需要进行大规模、前瞻性、多中心的临床试验以进一步研究和验证.本文对含雷替曲塞化疗方案的介入手术治疗中晚期HCC的作用进行综述.
Research progress on interventional surgery containing raltitrexed chemotherapy regimen in the treatment of intermediate and advanced hepatocellular carcinoma
Hepatocellular carcinoma(HCC)is the most common type of primary liver cancer.Due to the chal-lenges in early detection,many patients are diagnosed at intermediate to advanced stages without potential chance of radical surgery.Interventional surgery has emerged as an effective treatment for unresectable HCC in the mid-to-late stages,primarily including two approaches:transcatheter arterial chemoembolization(TACE)and hepatic arterial infu-sion chemotherapy(HAIC).Nevertheless,further exploration is needed on which chemotherapy drugs should be used in interventional surgery.Several clinical studies have demonstrated the beneficial effects of interventional surgery in-corporating raltitrexed chemotherapy in local and regional treatment settings.However,the optimal timing,efficacy,and safety of raltitrexed in interventional chemotherapy for HCC diagnosis and treatment remain uncertain,necessitat-ing large-scale,prospective,multi-center clinical trials for additional research and validation.This article reviews the application of interventional surgery combined with raltitrexed chemotherapy in the treatment of mid-to-late HCC.

RaltitrexedHepatocellular carcinomaTranscatheter arterial chemoembolizationHepatic arterial in-fusion chemotherapy

李国良、王海久、周虎、潘彪

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青海大学附属医院肝胆胰外科,青海西宁 810000

青海省包虫病研究重点实验室,青海西宁 810000

雷替曲塞 肝细胞癌 经导管动脉化疗栓塞 肝动脉灌注化疗

2025

实用药物与临床
辽宁省药学会,中国医科大学附属盛京医院

实用药物与临床

影响因子:1.633
ISSN:1673-0070
年,卷(期):2025.28(1)