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胰腺癌术后预防性肝动脉灌注化疗的临床研究

姚利琴 唐成武 冯文明 鲍鹰 郑银元

中国现代医生Issue(3):77-79,83,4.
中国现代医生Issue(3):77-79,83,4.

胰腺癌术后预防性肝动脉灌注化疗的临床研究

Clinical research of prophylactic hepatic artery infusion chemotherapy af-ter curative resection in patients with pancreatic cancer

姚利琴 1唐成武 1冯文明 1鲍鹰 1郑银元2

作者信息

  • 1. 湖州师范学院附属第一人民医院普通外科,浙江湖州 313000
  • 2. 湖州师范学院附属第一人民医院放射介入科,浙江湖州 313000
  • 折叠

摘要

Abstract

Objective To explore the effect of prophylactic hepatic artery infusion chemotherapy (HAIC) on survival after curative resection in patients with primary pancreatic cancer. Methods A total of 106 patients with pancreatic cancer after pancreatectomy received 2 cycles of HAIC plus 4 cycles of systemic chemotherapy (HAIC) or 6 cycles of sys-temic chemotherapy alone (Control). Both the HAIC and systemic chemotherapy regimen consisted of 5-fluorouracil 1000 mg/m2 on day 1 and Gemcitabine 800 mg/m2 on day 1 and 8. The treatment was started on an average of 3 weeks after surgery and repeated every 4 weeks. The disease-free survival , overall survival and liver metastases-free survival were compared. Results Significant differences were found in 3-year overall survival (HAIC, 23.08 %; Control, 14.81%;P=0.0473) and liver metastases-free survival (HAIC, 80.77%;Control, 55.56%;P=0.0014). There was no significant difference in adverse effects between two groups. Conclusion HAIC effectively and safely prevented liver metastases and improved the prognosis of patients with pancreatic cancer after pancreatectomy.

关键词

胰腺癌/肝动脉灌注化疗/肝内复发/转移

Key words

Pancreatic cancer/Hepatic artery infusion chemotherapy/Intrahepatic recurrence/Metastases

分类

医药卫生

引用本文复制引用

姚利琴,唐成武,冯文明,鲍鹰,郑银元..胰腺癌术后预防性肝动脉灌注化疗的临床研究[J].中国现代医生,2015,(3):77-79,83,4.

基金项目

浙江省省部共建资助项目 ()

中国现代医生

1673-9701

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