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替吉奥联合奥沙利铂辅助射频消融术治疗直肠癌根治术后肝转移的临床观察

符开伙 张剑权 蒋明

中国药房2017,Vol.28Issue(18):2496-2499,4.
中国药房2017,Vol.28Issue(18):2496-2499,4.DOI:10.6039/j.issn.1001-0408.2017.18.14

替吉奥联合奥沙利铂辅助射频消融术治疗直肠癌根治术后肝转移的临床观察

Clinical Observation of Tegafur,Gimeracil and Oteracil Potassium Combined with Oxaliplatin Assisting with Radiofrequency Ablation in the Treatment of Liver Metastases after Radical Operation of Rectal Can-cer

符开伙 1张剑权 2蒋明1

作者信息

  • 1. 海南西部中心医院普外科,海南儋州 571700
  • 2. 海口市人民医院肝胆外科,海口 570100
  • 折叠

摘要

Abstract

OBJECTIVE:To observe therapeutic efficacy and safety of tegafur,gimeracil and oteracil potassium combined with oxaliplatin assisting with radiofrequency ablation(RFA)in the treatment of liver metastases after radical operation of rectal cancer. METHODS:A total of 130 patients with liver metastases after radical operation of rectal cancer were randomly divided into control group and observation group,with 65 cases in each group. After RFA one week,control group was given Oxaliplatin injection 130 mg/m2 intravenously,d1,more than 3 h. Observation group was additionally given Tegafur capsule,for consecutive 14 d,drug with-drawal of 7 d,as a treatment course. A treatment course lasted for 3 weeks,and both groups received 2 courses of treatment. Short-term efficacies of 2 groups were observed as well as complete ablation rate,local recurrence rate,survival rate and the occur-rence of toxic reaction. RESULTS:The total remission rate,disease control rate,complete ablation rate,1-year,2-year and 3-year survival rates of observation group were significantly higher than those of control group,and local recurrence rate was significantly lower than control group,with statistical significance(P<0.05). There was no statistical significance in the incidence of toxic reac-tion between 2 groups(P>0.05). CONCLUSIONS:Tegafur,gimeracil and oteracil potas siucn combined with oxaliplatin assisting with RFA shows significant therapeutic efficacy for liver metastase after radical operation of rectal cancer,and can significantly de-lay disease progression,reduce local recurrence rate and prolong survival time,and does not increase the occurrence of toxic reac-tion.

关键词

替吉奥/奥沙利铂/射频消融术/直肠癌/肝转移/疗效/安全性

Key words

Tegafur gimeracil and oteracil potassiucn/Oxaliplatin/Radiofrequency ablation/Rectal cancer/Liver metastases/Therapeutic efficacy/Safety

分类

医药卫生

引用本文复制引用

符开伙,张剑权,蒋明..替吉奥联合奥沙利铂辅助射频消融术治疗直肠癌根治术后肝转移的临床观察[J].中国药房,2017,28(18):2496-2499,4.

中国药房

OA北大核心CSTPCD

1001-0408

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