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肝动脉化疗栓塞加门静脉灌输CD3AK细胞治疗转移性肝癌的研究
Study of Combine Effect of Hepatic Arterial Chemoembolization and Portal Venous Infusion with CD3AK cells on Patient with Metastatic Hepatic Carcinoma
【摘要】 目的 :观察肝动脉化疗栓塞 +门静脉插管化疗、灌输 CD3AK细胞治疗转移性肝癌的临床疗效及对机体免疫功能的影响。方法 :将 2 5例大肠癌肝转移患者随机分为 A,B两组 ,A组行肝动脉化疗栓塞 +门静脉插管化疗、灌输CD3AK细胞治疗 ,B组行肝动脉化疗栓塞 +门静脉插管化疗治疗。结果 :A组患者的细胞免疫指标在术后迅速恢复且维持在高水平状态 ,避免了机体由于手术打击而导致术后免疫力普遍降低的现象。而 B组术后细胞免疫功能较术前明显降低 ( P<0 .0 5 ) ,且恢复缓慢。A、B两组术后同期各指标相比较有显著性差异 ( P<0 .0 5 )。C组外周血单个核细胞的分布及体液免疫功能指标在术前、术后相比较无明显差异 ( P>0 .0 5 ) ,但均比 A、B组高。A组临床有效率为 80 % ,B组为 6 0 %。结论 :肝动脉化疗栓塞 +门静脉插管化疗、灌输 CD3AK细胞治疗转移性肝癌能提高临床疗效 ,提高肿瘤的 期切除率及迅速恢复、提高机体的细胞免疫功能
【Abstract】 Objective:To observe the clinical therapeutic value and effect on hostal immunol functional change for patient with secondary hepatic venous infusion with CD 3AK cells treatment.Methods:25 cases of patient with metastatic hepatic carcinoma of primary colon origin are divided randomly into group A and group B.group A,employed the combined hepatic arterial chemoembolization and portal venous infusion with CD 3AK cells procedure,while group B used the combined hepatic arterial chemoembolization only.Results:In group A,avoiding the general low immunity leave as a result of the cellular immunol index restore swifty and maintain at relatively high level postoperatively,while in group B,the cellular immunol function is obviously low and the restoration is slow.Both group A and group B index show apparent difference in same period of time(P<0.05).Effectiveness for group A is 80% while 60% for group B.Conclusion:Combined hepatic arterial chemombolization and portal venous infusion carcinoma with CD 3AK cells procedure has marked clinical therapeutic value and swift restoration.It is also effective to enhance hostal immune function.
【Key words】 chemoembolization; portal venous infusion; CD3AK cells; metastatic hepatic carcinoma; immune;
- 【文献出处】 华夏医学 ,ACTA MEDICINAE SINICA , 编辑部邮箱 ,2000年03期
- 【分类号】R730.5
- 【被引频次】1
- 【下载频次】20