实用癌症杂志2024,Vol.39Issue(4) :648-651,677.DOI:10.3969/j.issn.1001-5930.2024.04.032

甲苯磺酸索拉非尼联合TACE术用于不可手术切除的局限性肝癌患者治疗的效果分析

Efficacy Analysis of Sorafenib Tosylate Combined with TACE in the Treatment of Unresectable Localized Liver Cancer Patients

朱九荣 岳恺 叶亚平 吴玉卓
实用癌症杂志2024,Vol.39Issue(4) :648-651,677.DOI:10.3969/j.issn.1001-5930.2024.04.032

甲苯磺酸索拉非尼联合TACE术用于不可手术切除的局限性肝癌患者治疗的效果分析

Efficacy Analysis of Sorafenib Tosylate Combined with TACE in the Treatment of Unresectable Localized Liver Cancer Patients

朱九荣 1岳恺 1叶亚平 1吴玉卓1
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作者信息

  • 1. 473000 河南省南阳市中心医院
  • 折叠

摘要

目的 探讨甲苯磺酸索拉非尼联合经肝动脉化疗栓塞术(TACE)用于不可切除的局限性肝癌患者的疗效.方法 选取不可手术切除的肝癌患者为研究对象,随机分为对照组和观察组,观察组给予甲苯磺酸索拉非尼联合TACE治疗,对照组行单纯TACE治疗.比较2 组患者临床疗效、肿瘤标志物[甲胎蛋白(AFP)、糖类抗原(CA19-9)]水平、肝功能指标[谷丙转氨酶(ALT)、总胆红素(TBil)、白蛋白(Alb)]水平及不良反应发生率.结果 对照组客观缓解率为33.33%,观察组客观缓解率为54.17%,差异有统计学意义(P<0.05);对照组疾病控制率为62.50%,观察组患者疾病控制率为87.50%,差异有统计学意义(P<0.05).观察组患者AFP、CA19-9 水平、ALT、TBil和Alb水平均显著低于对照组,差异均有统计学意义(P<0.05).2 组不良反应发生率差异无统计学意义(P>0.05).结论 甲苯磺酸索拉非尼片联合TACE术用于不可手术切除的局限性肝癌患者具有更好的临床疗效,对肝功能的损伤较小,且不增加不良反应,较为安全可靠.

Abstract

Objective To investigate the efficacy of sorafenib toluene sulfonate combined with transcatheter arterial che-moembolization(TACE)in patients with unresectable localized liver cancer.Methods Patients with unresectable localized liver cancer were selected as the research objects.They were randomly divided into the control group and the observation group.The ob-servation group was treated with sorafenib toluene sulfonate combined with TACE,and the control group was treated with TACE a-lone.The clinical efficacy,the level of tumor markers[alpha fetoprotein(AFP),carbohydrate antigen(CA19-9)],the level of liv-er function indicators[alanine aminotransferase(ALT),total bilirubin(TBIL),albumin(ALB)]and the incidence of adverse re-actions were compared between the 2 groups.Results The objective remission rate was 33.33%in the control group and 54.17%in the observation group,the difference was statistically significant(P<0.05).The disease control rate was62.50%in the control group and 87.50%in the observation group,the difference was statistically significant(P<0.05);The levels of AFP,CA19-9,ALT,Tbil and Alb in the control group were significantly lower than those in the control group(P<0.05).Adverse reac-tion of the 2 groups had no statistical difference(P<0.05).Conclusion Sorafenib tosylate combined with TACE has a better clinical effect in patients with unresectable localized liver cancer,with less damage to liver function and no increase in adverse re-actions,which is safer and more reliable.

关键词

甲苯磺酸索拉非尼/经肝动脉化疗栓塞术/局限性肝癌/肝功能/临床疗效

Key words

Sorafenib toluene sulfonate/Transcatheter hepatic arterial chemoembolization/Localized liver cancer/Liver function/Clinical efficacy

引用本文复制引用

出版年

2024
实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
参考文献量19
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