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参一胶囊联合腹腔镜解剖性肝段切除术治疗老年原发性肝癌的临床研究

谭栋 何盟国 沈乃营 韩朝 梁刚 王智翔 郑康

中国中西医结合外科杂志2018,Vol.24Issue(1):21-26,6.
中国中西医结合外科杂志2018,Vol.24Issue(1):21-26,6.DOI:10.3969/j.issn.1007-6948.2018.01.005

参一胶囊联合腹腔镜解剖性肝段切除术治疗老年原发性肝癌的临床研究

Effects of Shenyi Capsule combined with Laparoscopic Anatomical Segmentectomy in Treatment of Elderly Liver Cancer

谭栋 1何盟国 1沈乃营 1韩朝 1梁刚 1王智翔 1郑康1

作者信息

  • 1. 陕西核工业215医院肝胆外科 咸阳712000
  • 折叠

摘要

Abstract

Objective To investigate the effects of Shenyi Capsule combined with laparoscopic anatomical segmentectomy in the treatment of elderly liver cancer.Methods Elderly liver cancer patients (74 cases) treated in 215 Hospital of Shanxi Nuclear Industry were randomly divided into observation group and control group.The patients in control group were treated with laparoscopic anatomical segmentectomy,and also given placebo.On the base of control group,the patients in observation group were treated by Shenyi Capsule,the course of treatment was two months.After the treatment,the complications were observed and effects were evaluated in the two groups.The levels of immunity index,including IgG,IgA,IgM,CD3+ and CD4+ were observed,while the levels of tumor markers containing alpha-fetal protein (AFP),carcinoembryonic antigen (CEA),carbohydrate antigen 125 (CA-125) and alpha-dicosidase (AFU) were detected before and after treatment.Results The rate of complications in observation group was 14.7%,similar with 18.1% in the control group (P > 0.05) while the total effective rate was 85.3 %,significantly higher than 66.7% in control group (P < 0.05).After the treatment,in the observation group,the levels of CD3+,CD4+,IgG,IgA and IgM were (50.58 ± 9.15)%,(36.23 ± 5.24)%,(15.56 ± 1.95) g/L,(2.45 ± 0.45) g/L and (2.54 ± 0.51) g/L,respectively,significantly higher than those in control group.Also in observation group,the levels ofAFP,CEA,CA-125 and AFU were (20.12 ± 2.34) μ g/L,(10.97 ± 1.36) μ g/L,(24.56 ± 2.19) U/mL and (23.45 ± 2.98) g/L,respectively,significantly lower than those in control group.Conclusion Shenyi Capsule combined with laparoscopic anatomical segmentectomy in the treatment of elderly liver cancer plays an effective role and can improve the immune functions in the patients.

关键词

参一胶囊/腹腔镜解剖性肝段切除术/老年/原发性肝癌

Key words

Shenyi Capsule/laparoscopic anatomical segmentectomy/elderly/primary liver cancer

分类

医药卫生

引用本文复制引用

谭栋,何盟国,沈乃营,韩朝,梁刚,王智翔,郑康..参一胶囊联合腹腔镜解剖性肝段切除术治疗老年原发性肝癌的临床研究[J].中国中西医结合外科杂志,2018,24(1):21-26,6.

中国中西医结合外科杂志

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1007-6948

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