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手术加腹腔温热灌注化疗治疗进展期胃癌疗效观察 被引量:3

Efficacy of Combination of Operation and Intraperitoneal Perfusion Chemotherapy in Patients with Advanced Gastric Carcinoma
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摘要 目的:探讨进展期胃癌手术切除后行 43℃顺铂、丝裂霉素溶液腹腔灌注治疗效果。方法:将 64例进展期胃癌患者随机分为灌注组和非灌注组,每组 32例,灌注组用 43℃顺铂,丝裂霉素腹腔灌注化疗作观察组。非灌注组 32例为对照组,并作术后随访 2年的疗效比较。结果:观察组 1、 2年生存率分别为 96.32%、 82.78%,对照组依次为 83.05%、 49.83%,( P=0.0433);观察组 1、 2年腹腔转移率分别为 28.12%、 40.62%,对照组为 37.5%、 68.75%,( P=0.0238),毒副作用两组比较无明显差异( P=0.2437)。结论:进展期胃癌手术加腹腔温热灌注化疗可以提高近期疗效。 Objective: This study was designed to evaluate the curative effect of resected advanced gastric carcinoma treated with 43℃ cisplatin and mitomycin C solution intraperitoneal perfusion chemotherapy. Method: The advanced gastric carcinoma patients(64 cases) were divided into observation group and control group. The observation group(32 cases) was treated with 43℃ cisplatin and mitomycin C solution intrapertonal perfusion chemotherapy. The control group(32 cases) was treated without intraperitoneal perfusion chemotherapy. The follow-up survey was compared after the treatment between two groups. Result: The one and two years survival rates were 96.32% ,82.78% and 83.05% , 49.83% respectively in the two groups. The two years survival rates in the observation group is higher than that in the control group(P=0.0433). One and two years abdominal metastasis rate were 28.12% , 40.62% and 37.5% , 68.75% respectively in the two groups. The two years abdominal metastasis rate in the observation group is lower than that in the control group (P=0.0238). There was no significant difference between two groups (P=0.2437). Conclusion: The curative effect in the near future can be improved in advanced gastric carcinoma treated by operation and intraperitoneal perfusion chemotherapy.
作者 李硕
出处 《癌症》 SCIE CAS CSCD 北大核心 2001年第3期298-300,共3页 Chinese Journal of Cancer
关键词 进展期胃肿瘤 外科手术 腹腔灌注 温热灌注 : Gastric neoplasms surgery Intraperitoneal perfusion
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