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热灌注联合FOLFOX方案对晚期胃癌患者TH1/TH2漂移的影响

杨成 黄跃平 杨延辉 褚智杰 杨天宝 孙君军

河南科技大学学报(医学版)2015,Vol.33Issue(3):178-182,5.
河南科技大学学报(医学版)2015,Vol.33Issue(3):178-182,5.

热灌注联合FOLFOX方案对晚期胃癌患者TH1/TH2漂移的影响

Effect of Intraperitoneal Perfusion Hyperthermic Chemotherapy and FQLFOX Chemotherapy on Th1/Th2 Imbalance in Patients with Advanced Gastric Cancer

杨成 1黄跃平 1杨延辉 1褚智杰 1杨天宝 1孙君军1

作者信息

  • 1. 河南科技大学第一附属医院,河南洛阳471003
  • 折叠

摘要

Abstract

Objective To compare the effect of intraperitoneal perfusion hyperthermic chemotherapy ( HIPEC) and FOLFOX chemotherapy on the expression of Th1 and Th2 cytokine profiles and Th1/Th2 imbalance, and evaluate the efficacy and safety of these two methods. Methods 60 cases of advanced gastric cancer were included and they were divided into combination therapy group ( n = 31 ) and chemotherapy group ( n=29 ) . The patients in these two groups were respectively applied to IPHC combined with FOLFOX treatment and FOLFOX treatment only. The peripheral blood was collected and the expression of Th1 and Th2 cytokine profiles and Th1/Th2 ratio were evaluated by flow cytometry. The short-term effect, patient survival and adverse reactions were also compared. Results Combination therapy exhibited a significantly improvement on Th1 and Th2 cytokine profiles and Th1/Th2 ratio when compared to chemotherapy group. The RR and DCR was significantly higher in combination therapy group than chemotherapy group. Moreover, a significantly increased survival was found in combination therapy group while no difference was observed between these two groups. Conclusion HIPEC combined with FOLFOX treatment can significantly improve the expression of Th1 and Th2 cytokine profiles and Th1/Th2 ratio, and combination therapy exhibits a higher efficacy and survival rate, which might represent a superior therapy for the patients with advanced gastric cancer.

关键词

胃癌/Th1/Th2/热灌注化疗

Key words

gastric cancer/Th1/Th2/HIPEC

分类

医药卫生

引用本文复制引用

杨成,黄跃平,杨延辉,褚智杰,杨天宝,孙君军..热灌注联合FOLFOX方案对晚期胃癌患者TH1/TH2漂移的影响[J].河南科技大学学报(医学版),2015,33(3):178-182,5.

河南科技大学学报(医学版)

1672-688X

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