静脉化疗联合腹腔精准持续热灌注化疗治疗晚期卵巢癌的疗效
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河北省医学科学研究课题计划项目(20221493);


Efficacy of intravenous chemotherapy combined with precise continuous circulation intraperitoneal hyperthermic chemotherapy in the treatment of advanced ovarian cancer
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    摘要:

    目的:探讨晚期卵巢癌患者应用静脉化疗联合精准持续循环腹腔热灌注化疗(IPHC)的临床效果。方法:选取100例晚期卵巢癌患者作为研究对象,按照干预方式不同分为对照组和观察组,每组各50例。对照组采取紫杉醇+卡铂静脉化疗方案治疗;观察组在对照组基础上联合IPHC治疗。比较两组患者临床疗效、肿瘤标志物[癌胚抗原(CEA)、甲胎蛋白(AFP)、碱性成纤维生长因子(bFGF)、人附睾蛋白4(HE4)]、免疫细胞指标(CD3+T细胞、CD4+T细胞、CD4+/CD8+T细胞比值)、不良反应及生存情况。结果:治疗后,与对照组比较,观察组临床总控制率更高(P<0.05),CEA、AFP、bFGF、HE4水平均更低(P<0.05);观察组CD3+T细胞、CD4+T细胞、CD4+/CD8+T细胞比值水平均更高(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05);随访12个月,两组生存曲线比较,差异无统计学意义(P>0.05)。结论:IPHC联合TC静脉化疗对晚期卵巢癌患者有一定的疗效,能够降低其肿瘤标志物,提高免疫功能,且不增加不良反应。

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    Objective:To explore the clinical effects of intravenous chemotherapy combined with IPHC on patients with advanced ovarian cancer(AOC).Methods:Totally 100 patients with AOC were divided into two groups by means of different intervention meth-ods.50 patients in the control group were treated with paclitaxel+carboplatin for intravenous chemotherapy,and the other 50 patients in the observation group were combined with IPHC on the basis of the control group.The clinical efficacy,tumor markers[carcinoembryon-ic antigen(CEA),alpha-fetoprotein(AFP),basic fibroblast growth factor(bFGF),human epididymis protein 4(HE4)],immune cell indicators(CD3+T cell,CD4+T cell,CD4+/CD8+T cell ratio),adverse reactions and survival status were compared between the two groups.Results:After treatment,compared with the control group,the total clinical control rate in the observation group was higher(P<0.05).The levels of CEA,AFP,bFGF and HE4 in the observation group were lower compared with those in the control group(P<0.05).The levels of CD3+T cell,CD4+T cell and CD4+/CD8+T cell ratio were higher in the observation group(P<0.05).There was no statistical significance in the incidence of adverse reactions between groups(P>0.05).After 12 months of follow-up,the survival curve revealed no statistical difference between both groups(P>0.05).Conclusion:IPHC combined with TC intravenous chemotherapy has certain efficacy on patients with AOC,and it can reduce the tumor markers and enhance the immune function,and it will not additionally increase adverse reactions.

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王立霞;姚秀玲;梁焕;刘树雨;戴艳丽;.静脉化疗联合腹腔精准持续热灌注化疗治疗晚期卵巢癌的疗效[J].川北医学院学报,2025,40(4):467-470.

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  • 在线发布日期: 2025-07-24
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