首页|腹腔热灌注联合全身静脉化疗在胃癌术后应用的效果观察

腹腔热灌注联合全身静脉化疗在胃癌术后应用的效果观察

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目的探讨腹腔热灌注联合全身静脉化疗在胃癌术后的临床效果.方法回顾性分析我院收治的88例胃癌手术患者的临床资料,根据术后化疗方法分为治疗组和对照组各44例,治疗组采用腹腔热灌注化疗联合全身静脉化疗进行治疗,对照组仅采用静脉化疗治疗,比较两组患者术后2个月-5年内的生存率、复发率、转移率情况及不良反应发生情况.结果术后2年内治疗组患者的生存率略高于对照组,但差异无统计学意义,P>0.05,术后3年、5年治疗组的生存率均高于对照组,差异有统计学意义,P<0.05;治疗组术后的总复发率及转移率显著低于对照组,P<0.05;两组不良反应无显著差异,P>0.05.结论腹腔热灌注联合全身静脉化疗用于胃癌术后可显著提高生存率,明显降低术后复发率和转移率,毒副作用小.
The observation of the effect for intraperitoneal hyperthermic perfusion combined with systemic intravenous chemotherapy in the application of postoperative gastric
Objective To investigate the clinical effect for intraperitoneal hyperthermic perfusion combined with systemic intravenous chemotherapy in the application of postoperative gastric. Methods The clinical data of 88 patients in our hospital for gastric surgery was taken for retrospective analysis. They were divided into the treatment group and the control group, and 44 cases in each group. The treatment group was treated with intraperitoneal hyperthermic perfusion chemotherapy combined with systemic chemotherapy according to postoperative chemotherapy treatment and control group patients were only taken with intravenous chemotherapy treatment. The survival rate, relapse rate and transfer rate, and incidence of adverse reactions 2 months to 5 years after surgery were compared. Results The survival rate of patients in the treatment group 2 years after the treatment group was slightly higher than that in the control group, but there was no significant difference(P>0.05). The survival rate of the treatment group 3 years and 5 years after surgery were 68.18% and 52.27%, and 56.82% and 38.64% in the control group, there was significant difference, P<0.05. The recurrence rate and metastasis rate in the treatment group was 63.64%, significantly lower than the control group of 77.27%, P<0.05. There was no statistically significant difference for the adverse reactions, P>0.05. Conclusion Intraperitoneal hyperthermic perfusion combined with systemic intravenous chemotherapy for gastric cancer after surgery can significantly improve the survival rate, significantly lower relapse rate and transfer rate of postoperative patients, and with little drug side effects.

Gastric cancerCHPPSystemic chemotherapy

邹庆伟、蒲艳、蒲敏

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646000 泸州医学院附属医院胃肠外科

646000 泸州医学院附属医院血管外科

胃癌 腹腔热灌注 全身静脉化疗

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(5)
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