首页|支气管动脉灌注白蛋白紫杉醇+洛铂化疗联合动脉栓塞治疗晚期非小细胞肺癌的临床效果

支气管动脉灌注白蛋白紫杉醇+洛铂化疗联合动脉栓塞治疗晚期非小细胞肺癌的临床效果

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目的 探讨晚期非小细胞肺癌(Non-small Cell Lung Cancer,NSCLC)患者采用支气管动脉灌注白蛋白紫杉醇(Nanoparticle Albumin Bound Paclitaxel,NAB-PTX)+洛铂(Lobaplatin,LBP)化疗联合动脉栓塞治疗的临床效果.方法 选取2021年2月—2023年10月曹县人民医院收治的40例晚期NSCLC患者为研究对象,以随机数表法分为研究组和对照组,各20例.两组均给予动脉栓塞治疗,对照组给予支气管动脉灌注NAB-PTX+顺铂(Cisplatin,DDP)化疗,研究组给予支气管动脉灌注NAB-PTX+LBP化疗,比较两组近期疗效及血清肿瘤标志物水平.结果 研究组客观缓解率为65.00%,高于对照组的30.00%,差异有统计学意义(χ2=4.912,P<0.05).治疗后两组糖类抗原125、癌胚抗原水平均下降,且研究组较对照组更低,差异有统计学意义(P均<0.05).结论 支气管动脉灌注NAB-PTX+LBP化疗联合动脉栓塞应用于晚期NSCLC患者治疗中,可以提高临床疗效,降低血清肿瘤标志物水平.
Clinical Effect of Bronchial Artery Perfusion with Albumin Paclitaxel+Lo-baplatin Chemotherapy Combined with Arterial Embolization for Ad-vanced Non-small Cell Lung Cancer
Objective To explore the clinical effect of advanced non-small cell lung cancer(NSCLC)patients treated with Nanoparticle Albumin Bound Paclitaxel(NAB-PTX)+lobaplatin(LBP)chemotherapy combined with arterial em-bolization.Methods A total of 40 patients with advanced NSCLC admitted to Caoxian People's Hospital from Febru-ary 2021 to October 2023 were selected as the study objects and were divided into a study group and a control group with 20 cases in each group by random number table method.Both groups were given arterial embolization treatment.The control group was given bronchial arterial infusion NAB-PTX+cisplatin(DDP)chemotherapy,and the study group was given bronchial arterial infusion NAB-PTX+LBP chemotherapy.Recent efficacy and serum tumor markers were compared between the two groups.Results The objective response rate was 65.00%in the study group,higher than 30.00%in the control group,the difference was statistically significant(χ2=4.912,P<0.05).The levels of carbohy-drate antigen 125 and carcinoembryonic antigen decreased in both groups after treatment,and were lower in the study group compared to the control group,the differences were statistically significant(all P<0.05).Conclusion Bronchial artery perfusion NAB-PTX+LBP chemotherapy combined with arterial embolization can improve clinical efficacy and reduce serum tumor marker levels when applied in the treatment of advanced NSCLC patients.

Bronchial artery perfusionAlbumin paclitaxelLobaplatinArterial embolizationAdvanced non-small cell lung cancer

纪永棋、焦言、张芳芳

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曹县人民医院综合介入科,山东菏泽 274400

支气管动脉灌注 白蛋白紫杉醇 洛铂 动脉栓塞 晚期非小细胞肺癌

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(10)