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同种LAK细胞、5-FU等抗癌剂腹腔注入治疗原发性肝癌腹水的临床观察

Clinical Observation of Treatment by IntraperitonealAdministration of LAK Cells, 5-FU in Patients with Ascites Due to Primary Hepatocellular Carcinoma
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摘要 本文采用同种LAK细胞联合IL-2腹腔注入(IP),5-FU联合MMC、CBDCA腹腔注入,同种LAK细胞联合IL-2静脉输入以及放腹水、利尿、补充白蛋白等方法,分别治疗晚期PHC腹水患者共40例,结果表明,同种LAK细胞联合IL-2经IP(10例),5-FU联合MMC、CBDCA经IP(10例),均使4例(40%)腹水减少或消失、症状明显改善;同种LAK细胞联合IL-2全身治疗(10例),以及放腹水、利尿、补充白蛋白等一般治疗(10例),均仅使1例(10%)腹水减少,疗效欠佳;结果提示,腹腔内LAK联合IL-2治疗及腹腔内5-FU联合MMC、CBDCA化疗,是值得推荐的治疗晚期肝癌腹水的手段之一。 A comparative study was carried out in 40 patients with ascites due to advanced PHC treated by intraperitoneal (IP) administration of allogenic LAK cells combined with IL-2(10 patients), 5-FU combined with MMC, CBDCA (10 patients),intravenous injection of LAK cells combined with IL2 ( 10 patients) and diuretic therapy and intraperitoneal drainage therapy (10 patients). Of these 40 patients, 4 treated by IP administration of LAK combined with IL-2 and 4 treated by IP administration of 5-FU combined with MMC,CBDCA could reduced the amount of ascites, improved clinical symptoms, 1 treated by intravenous injection of LAK combined with IL-2 and 1 treated by diuretic therapy, intraperitoneal drainage therapy could reduced the amount of ascites. The results indicated that IP administration of LAK combined with IL-2 or of 5-FU combined with MMC, CBDCA in the patients with ascites due to advanced PHC is a recommendable treatment.
作者 张丹 张万岱
出处 《胃肠病学和肝病学杂志》 CAS 1995年第1期52-54,共3页 Chinese Journal of Gastroenterology and Hepatology
关键词 原发性肝癌 腹水 腹腔注入 LAK细胞 IL-2 5-FU PHC ascites intraperitoneal LAK cells IL-2 5-FU
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