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恩度对原发性肝癌TACE术后VEGF的影响

孙学栋 杜玉清 陈伟建

实用肿瘤杂志2013,Vol.28Issue(1):41-44,4.
实用肿瘤杂志2013,Vol.28Issue(1):41-44,4.

恩度对原发性肝癌TACE术后VEGF的影响

Effects of endostar on VEGF expression after TACE in hepatocellular carcinoma

孙学栋 1杜玉清 2陈伟建1

作者信息

  • 1. 温州医学院附属第一医院放射影像中心,浙江温州325000
  • 2. 上海市浦东新区浦南医院肿瘤科,上海200120
  • 折叠

摘要

Abstract

Objective To investigate the plasma vascular endothelial growth factor ( VEGF) levels of recombinant human endostar combined with transcatheter arterial chemoembolization(TACE) in treatment of hepatocellular carcinoma (HCC). Methods Thirty patients with HCC were treated with recombinant human endostar combined with TACE (trial group) or TACE alone ( control group) with 15 cases in each group. Venous blood samples of 30 patients collected on the 7th day preoperatively,and the 3rd,7th,2lth, 35th days postoperatively.were used to examine the plasma VEGF levels with ELISA quantitatively. Results The plasma VEGF levels preoperatively was no statistically significant difference ( P >0. 05) in two groups. The plasma VEGF levels of trial group were slightly elevated on the 3rd day postoperatiyely, manifested as a continual decrease on the 7 th, 21th, 35 th days postoperatively and lowei than preoperative levels. The plasma VEGF levels of control group slightly decreased on the 21th day postoperatively only, but increased on other postoperative days and higher than preoperative VEGF levels. There were significant differences of VEGF levels between any time points postoperatively and preoperatively (P< 0.05). VEGF levels of the patients with tumor diameter < 5 cm in trial group increased slightly on the 3rd day postoperatively, then reduced continually, and lasted for a long time. But patients in control group began to drop on the 7th day postoperatively,and began to rise on the 35th day. VEGF levels of the patients with tumor diameter >5 cm in trial group only increased on the 3rd day, at the rest of the time point are lower than preoperative VEGF level, but the levels of the patients in control group were only lower than preoperative VEGF level on the 21th day postoperatively. Conclusion Endostar combined with TACE can reduce the VEGF levels of hepatocellular carcinoma, especially for the patients with tumor diameter <5 cm.

关键词

肝肿瘤/药物疗法/栓塞,治疗性/血管内皮生长因子/恩度/治疗应用/复发

Key words

liver neoplasms/ drug therapy/ embolization, therapeutic/ endostar/therapeutic use/ recurrence

分类

医药卫生

引用本文复制引用

孙学栋,杜玉清,陈伟建..恩度对原发性肝癌TACE术后VEGF的影响[J].实用肿瘤杂志,2013,28(1):41-44,4.

基金项目

温州市科技局资助课题(Y20080178) (Y20080178)

实用肿瘤杂志

OACSTPCD

1001-1692

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