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经导管动脉化疗栓塞术联合扶正消瘤颗粒治疗原发性肝癌的近期疗效分析

李雪静 刘欣 张德政 栗辉 李娅 韩康平 詹鹏超 李臻 高源 李鑫 吴白露 叶书文 陈欣菊 韦超

中医肿瘤学杂志2026,Vol.8Issue(4):42-47,6.
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中医肿瘤学杂志2026,Vol.8Issue(4):42-47,6.DOI:10.19811/j.cnki.ISSN2096-6628.2026.07.006

经导管动脉化疗栓塞术联合扶正消瘤颗粒治疗原发性肝癌的近期疗效分析

Transcatheter Arterial Chemoembolization Combined with Fuzheng Xiaoliu Granules for Primary Liver Cancer:A Short-Term Efficacy Analysis

李雪静 1刘欣 2张德政 2栗辉 2李娅 3韩康平 4詹鹏超 5李臻 1高源 6李鑫 1吴白露 1叶书文 1陈欣菊 7韦超7

作者信息

  • 1. 郑州大学第一附属医院放射介入科,河南 郑州 450052
  • 2. 北京科技大学计算机与通信工程学院,北京 100083
  • 3. 郑州大学第一附属医院消化内科,河南 郑州 450052
  • 4. 天津医科大学医学技术学院,天津 300203
  • 5. 河南省直第三人民医院医学影像科,河南 郑州 450000
  • 6. 河南中医药大学中医药科学院,河南 郑州 450000
  • 7. 河南中医药大学第一附属医院脾胃肝胆科,河南 郑州 450052
  • 折叠

摘要

Abstract

Objective To evaluate the short-term efficacy of transcatheter arterial chemoembolization(TACE)combined with Fuzheng Xiaoliu Granules in the treatment of primary liver cancer.Methods A total of 82 patients with hepatocellular carcinoma were prospectively enrolled and randomly assigned to a control group(n=41)and a treatment group(n=41).Both groups received standard symptomatic treatment.The treatment group received TACE combined with Fuzheng Xiaoliu Granules Ⅱ(twice daily),while the control group received TACE and conventional Western medical treatment.The objective response rate(ORR),alpha-fetoprotein(AFP)level,Karnofsky performance status(KPS)score,and liver function parameters were compared between the two groups at 1 month and 3 months post-treatment.Results At 3 months post-treatment,the ORR was 48.8%in the control group and 70.7%in the treatment group,with a statistically significant difference(P<0.05).The reduction in AFP level at 3 months post-treatment was significantly greater in the treatment group than that in the control group(P<0.05).The KPS scores at 1 month and 3 months post-treatment were significantly higher in both groups compared with baseline(the preoperative day),with a greater increase in the treatment group(P<0.05).At 3 months post-treatment,the levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST),and total bilirubin(TBIL)decreased in both groups compared with baseline and 1-month post-treatment levels,with a greater reduction in the treatment group(P<0.05).Albumin(ALB)levels increased in both groups at 3 months post-treatment compared with baseline and 1-month post-treatment levels,and the increase was greater in the treatment group(P<0.05).There was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion TACE combined with Fuzheng Xiaoliu Granules can improve the objective response rate,liver function,and quality of life in patients with hepatocellular carcinoma,demonstrating superior efficacy compared with conventional Western medical treatment alone.

关键词

化疗栓塞/肝细胞癌/扶正消瘤颗粒/肝功能/介入治疗

Key words

chemoembolization/hepatocellular carcinoma/Fuzheng Xiaoliu Granules/liver function/interventional therapy

分类

医药卫生

引用本文复制引用

李雪静,刘欣,张德政,栗辉,李娅,韩康平,詹鹏超,李臻,高源,李鑫,吴白露,叶书文,陈欣菊,韦超..经导管动脉化疗栓塞术联合扶正消瘤颗粒治疗原发性肝癌的近期疗效分析[J].中医肿瘤学杂志,2026,8(4):42-47,6.

基金项目

河南省重点研发专项(编号:241111311000) (编号:241111311000)

河南省"三个100"计划:医学科技人才海外研修项目(编号:HNMOT2025078) (编号:HNMOT2025078)

河南省自然科学基金重点科学基金项目(编号:232300421120). (编号:232300421120)

中医肿瘤学杂志

2096-6628

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