首页|经肝动脉介入化疗栓塞术联合阿帕替尼治疗复发性肝癌的临床效果

经肝动脉介入化疗栓塞术联合阿帕替尼治疗复发性肝癌的临床效果

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目的 探讨经肝动脉介入化疗栓塞术(TACE)联合阿帕替尼治疗复发性肝癌的临床效果.方法 选取我院收治的90例复发性肝癌患者随机分为观察组和对照组各45例.对照组采用TACE治疗,观察组采用TACE联合阿帕替尼治疗.比较两组的治疗效果、血清肿瘤标志物[甲胎蛋白(AFP)、血管内皮生长因子(VEGF)与基质金属蛋白酶-9(MMP-9)]水平及不良反应.结果 观察组治疗总有效率为60.00%,高于对照组的37.78%(P<0.05).治疗后,观察组VEGF、MMP-9、AFP水平低于对照组(P<0.05).治疗期间,观察组高血压、手足综合征发生率高于对照组(P<0.05).结论 TACE联合阿帕替尼治疗复发性肝癌效果较好,可明显降低患者血清AFP、VEGF、MMP-9水平,但可能会增加患者高血压、手足综合征发生风险.
Clinical Effect of Transcatheter Arterial Chemoembolization Combined with Apatinib in the Treatment of Recurrent Liver Cancer
Objective To explore the clinical effect of transcatheter arterial chemoembolization(TACE)combined with apatinib in the treatment of recurrent liver cancer.Methods 90 patients with recurrent liver cancer admitted to our hospital were randomly divided into observation group(n=45)and control group(n=45).The control group was treated with TACE,and the observation group was treated with TACE combined with apatinib.The treatment effect,serum tumor markers(AFP,VEGF,MMP-9)and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 60.00%,higher than 37.78%in the control group(P<0.05).After treatment,the VEGF,MMP-9 and AFP levels of the observation group were lower than those of the control group(P<0.05).During the treatment,the incidences of hypertension and hand-foot syndrome in the observation group were higher than those in the control group(P<0.05).Conclusions TACE combined with apatinib has better effect in the treatment of recurrent liver cancer,which can significantly reduce the serum AFP,VEGF and MMP-9 levels,but may increase the risk of hypertension and hand-foot syndrome.

Recurrent liver cancerTranscatheter arterial chemoembolizationApatinibTreatment effect

周翔飞、常家伟、朱秋洁

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永煤集团总医院介入中心,河南永城 476600

复发性肝癌 肝动脉介入化疗栓塞术 阿帕替尼 治疗效果

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(3)
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