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胰头癌根治术后动脉灌注健择化疗的疗效分析
作者:余仔军 谢敏  
单位:南京医科大学鼓楼临床医学院普外科115病区
关键词:胰头癌根治术 健择 动脉灌注化疗 临床研究 
分类号:
出版年·卷·期(页码):2010·38·第三期(249-252)
摘要:

目的:探讨健择动脉灌注化疗在胰头癌根治术后的临床应用价值。方法:胰头癌根治切除患者66例分为对照组(32例)和治疗组(34例),对照组术后使用健择全身静脉化疗,治疗组术后动脉灌注健择化疗,比较两组术后不良反应发生率、肝转移率、局部复发率及生存期。结果:(1)按WHO分级标准,对照组血细胞减少发生率明显高于治疗组(P<0.05);(2)治疗组患者的肝转移率、局部复发率及1年、3年生存率分别为17%、42%及44%、11%,对照组分别为73%、68%及16%、3%,两组比较差异有统计学意义(P<0.05)。结论:胰头癌根治术后动脉灌注健择化疗可以改善患者生存质量,降低复发率,延长生存期。

Objective: To investigate the clinic value of transarterial infusion chemotherapy of gemcitabine for post radical excision in patients with cancer of pancreatic head. Methods: 66 patients with cancer of pancreatic head were divided to the control group (32 patients) and the therapeutic group (34 patients). The control group received traditional vein chemotherapy of gemcitabine while the therapeutic group received transarterial infusion chemotherapy of gemcitabine. The incidence rate of adverse event, the liver metastasis rate, local recurrence rate and survival time were compared between the two groups after operation. Results: 1) according to the stage standard of WHO, the incidence rate of the decreace of blood cell in the control group is significantly higher than the therapeutic group(P<0.05); 2) the liver metastasis rate, local recurrence rate and survival time in 1 year and 3 years are individually 17%, 42% and 44%, 11% in the therapeutic group while in the control group the liver metastasis rate, local recurrence rate and survival time in 1 year and 3 years are individually 73%, 68% and 16%, 3%. There is significantly statistical difference between the two groups(P<0.05) .Conclusion: transarterial infusion chemotherapy of gemcitabine for post radical excision in patients with cancer of pancreatic head can improve the survival quality of patients, reduce the recurrence rate and prolong the survival period of patients.

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