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首页|期刊导航|广东医学|化疗联合顺铂腹腔热灌注治疗中晚期卵巢癌术后的效果

化疗联合顺铂腹腔热灌注治疗中晚期卵巢癌术后的效果

汤凯雯 陈历排 杜佩妍 吴蕴瑜

广东医学Issue(11):1746-1749,4.
广东医学Issue(11):1746-1749,4.

化疗联合顺铂腹腔热灌注治疗中晚期卵巢癌术后的效果

Post-operatively curative efficacy of chemotherapy combined with cisplatin hyperthermic intraperitoneal perfu-sion chemotherapy on mid-advanced ovarian cancer

汤凯雯 1陈历排 1杜佩妍 1吴蕴瑜1

作者信息

  • 1. 广州医科大学附属肿瘤医院妇科肿瘤外科 广州510095
  • 折叠

摘要

Abstract

Objective To investigate the post -operatively curative efficacy of chemotherapy combined with cis-platin hyperthermic intraperitoneal perfusion chemotherapy on mid -advanced ovarian cancer .Methods Ninety-five ca-ses with pathological proved mid -advanced ovarian cancer and cytoreductive therapy were selected , and divided into 3 groups;among whom regimen neoadjuvant chemotherapy combined with postoperative TP chemotherapy ( perioperative chemotherapy ) , postoperative chemotherapy combined with cisplatin ( 60 mg ) hyperthermic intraperitoneal perfusion chemotherapy , and perioperative chemotherapy combined with cisplatin hyperthermic intraperitoneal perfusion chemothera -py were given to those in Group A (n=30), B (n=32) and C (n=33), respectively.The clinical efficacy was com-pared.Results Significantly shorter operation time and postoperative chemotherapy duration , and less intraoperative blood loss were observed in Group C than those in Group A and B ( P<0.05);so were significantly higher PFS and KPS , and lower ascites in Group C (P<0.05).As the extension of treatment, peripheral blood CD3 +CD4+, CD3 +CD56 +and CD3 +CD4 +/CD3 +CD8 +in Group B and C group were significantly increased , which were significantly higher after hy-perthermic intraperitoneal perfusion chemotherapy than pre -treatment (P<0.05), while there was no significant differ-ence before and after the treatment in Group A group (P>0.05).Conclusions The cisplatin hyperthermic intraperito-neal perfusion chemotherapy intensifies the anticancer efficacy and improves the life quality after surgery by inducing tumor apoptosis.The thermal effect can also alleviate immune suppression phenomenon .

关键词

化疗/顺铂/腹腔热灌注/卵巢癌/手术

Key words

chemotherapy/cisplatin/hyperthermic intraperitoneal perfusion chemotherapy/ovarian cancer/op-eration

引用本文复制引用

汤凯雯,陈历排,杜佩妍,吴蕴瑜..化疗联合顺铂腹腔热灌注治疗中晚期卵巢癌术后的效果[J].广东医学,2015,(11):1746-1749,4.

基金项目

广州市医药卫生科技项目 ()

广东医学

OA北大核心CSTPCD

1001-9448

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