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遵义医学院附属医院
纸质出版日期:2011
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[1]杨明镇,王慧,蒋国军,赵开飞,蔡争,赵逵.鸦胆子油乳介入治疗老年中晚期原发性肝癌[J].中国实验方剂学杂志,2011,17(02):235-237.
YANG Ming-zhen, WANG Hui, JIANG Guo-jun, et al. Interventional Treatment for Elderly Advanced Primary Liver Cancer by Brucea javanica Oil Emulsion[J]. Chinese journal of experimental traditional medical formulae, 2011, 17(2): 235-237.
[1]杨明镇,王慧,蒋国军,赵开飞,蔡争,赵逵.鸦胆子油乳介入治疗老年中晚期原发性肝癌[J].中国实验方剂学杂志,2011,17(02):235-237. DOI: 10.13422/j.cnki.syfjx.2011.02.071.
YANG Ming-zhen, WANG Hui, JIANG Guo-jun, et al. Interventional Treatment for Elderly Advanced Primary Liver Cancer by Brucea javanica Oil Emulsion[J]. Chinese journal of experimental traditional medical formulae, 2011, 17(2): 235-237. DOI: 10.13422/j.cnki.syfjx.2011.02.071.
目的:探讨鸦胆子油乳介入治疗老年中晚期原发性肝癌患者的临床疗效及安全性。方法:50例老年中晚期原发性肝癌住院患者随机分为治疗组(26例)与对照组(24例)。两组均采用Seldinger’s技术行肝动脉介入治疗。治疗组给予鸦胆子油/碘油混合液灌注栓塞治疗
对照组给予传统化疗药/碘油灌注栓塞化疗。两组一般间隔4~6周重复介入1次
平均每例行2.6次介入治疗
观察两组患者的临床获益率、毒副作用及生存期。结果:两组临床获益率比较差异有统计学意义
治疗组优于对照组(P<0.05);治疗组比对照组毒副作用发生率少。治疗后3个月两组均无死亡病例
但0.5
1年生存率
治疗组分别为96.1%(25/26)
50%(13/26)
对照组分别为83.3%(20/24)
33.3%(8/24)
治疗组高于对照组(P<0.05)。两组患者的中位生存期分别为8.9个月及6.7个月。结论:鸦胆子油乳介入治疗中晚期原发性肝癌有效
且毒副作用少
尤其适合老年患者。
Objective:To evaluate the clinical efficacy and safety about interventional treatment for elderly patients with advanced primary liver cancer by Brucea javanica oil emulsion.Method: Fifty elderly patients with advanced primary liver cancer inpatients were randomly divided into treatment group(26 cases) and control group(24 cases).Using Seldinger’s technique in both groups hepatic artery interventional therapy was carried out.Treatment group was treated with B.javanica oil /lipiodol mixture perfusion embolization;the control group received conventional chemotherapy /lipiodol chemoembolization infusion.Two groups
as the case in general interval 4 to 6 weeks to repeat one intervention.An average of 2.6 times for every routine intervention were observed in patients with clinical benefit rate
toxicity and survival.Result: The clinical benefit rates of the two groups after treatment were statistically significant difference(P < 0.05).The incidence of toxic side effects in the treatment group was less than that in the control group after the intervention.No death case after treatment of 3 months in two groups.However
to compare the 0.5 and 1-year survival rate
treatment group were 96.1%(25/26)
50%(13/26)
the control group were 83.3%(20 /24)
33.3%(8/24).There was significant difference between the treatment group and the control group(P<0.05).Two group cases with a median survival time were 8.9 months and 6.7 months.Conclusion: Interventional treatment for advanced primary liver cancer by B.javanica oil emulsion is valid
low toxic side effects
especially suitable for elderly patients.
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