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术前区域动脉灌注化疗对结肠癌组织学疗效及预后的影响

Histologic efficacy and prognosis of colon carcinoma treated with preoperative regional intra-arterial infusion chemotherapy

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【作者】 邢安堂任宏吴放王荣陶勇博刘刚

【Author】 XING An-tang~1,REN Hong~2,WU Fang~1,WANG Rong~1,TAO Yong-bo~1,LIU Gang~2 ~1The Department of 1st Surgery,Xi’an Center Hospital of China Railway 1st Bureau,Xi’an 710054,China,~2First Hospital of Xi’an Jiaotong University,Xi’an 710061,China

【机构】 中铁一局西安中心医院外一科西安交通大学第一附属医院肿瘤外科西安交通大学第一附属医院肿瘤外科 陕西西安710054陕西西安710061陕西西安710054

【摘要】 目的:总结结肠癌术前区域动脉灌注化疗的经验,观察其组织学疗效与预后的关系。方法:对56例术前经肠系膜动脉灌注化疗的结肠癌患者及47例未经术前灌注化疗的结肠癌患者随访资料进行回顾性分析。结果:56例经术前灌注化疗的结肠癌患者肿瘤组织学疗效0级2例,Ⅰ级24例,Ⅱ级28例,Ⅲ级2例,总有效率96.4%。经术后5年随访,术前灌注化疗的结肠癌患者5年生存率明显高于未经术前灌注化疗的结肠癌患者(P<0.01)。结论:术前区域动脉灌注化疗可显著提高结肠癌组织学疗效,改善预后效果,提高生存率。

【Abstract】 Objective:To summarize the experience and observe the histologic response and clinical value of colon carcinoma treated with preoperative regional intra-arterial infusion chemotherapy.Methods: The follow-up data of 56 cases treated with preoperative regional intra-arterial infusion chemotherapy and 47 cases without treated with preoperative regional intra-arterial infusion chemotherapy was analyzed retrospectively.Results: The total response rate was 96.4% in 56 cases treated with preoperative regional intra-arterial infusion chemotherapy,with grade 0 in 1 case,grade I in 24 cases,grade Ⅱ in 28 cases,and grade Ⅲ in 2 cases,followed up all cases by 5 years after the operation,the survival rate in patients treated with preoperative regional intra-arterial infusion chemotherapy was obviously higher than those without treated with preoperative regional intra-arterial infusion chemotherapy(P<0.01).Conclusion: The histology curative effect,prognosis result and survival rate can be improved notably in patients with colon cancer by preoperative regional intra-arterial infusion chemotherapy.

  • 【文献出处】 现代肿瘤医学 ,Journal of Modern Oncology , 编辑部邮箱 ,2006年08期
  • 【分类号】R735.35
  • 【被引频次】5
  • 【下载频次】86
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