临床普外科电子杂志 ›› 2023, Vol. 11 ›› Issue (4): 2-.

• •    下一篇

经导管动脉化疗栓塞术联合125I 粒子植入治疗原发性肝癌的临床效果

  

  1. 1. 广州皇家丽肿瘤医院 微创介入科,广东 广州 510000;2. 中山大学肿瘤防治中心 肿瘤内科,广东 广州 510060
  • 出版日期:2023-10-01 发布日期:2023-12-20

Clinical effect of transcatheter arterial chemoembolization combine with 125I implantation in the treatment of primary liver cancer

  1. 1.Minimally Invasive Intervention Department of Guangzhou RoyalLee Tumor Hospital, Guangdong Guangzhou 510000, China;  2. Oncology Department of Sun Yat sen University Cancer Center, Guangdong Guangzhou 510060, China
  • Online:2023-10-01 Published:2023-12-20

摘要:

目的 研究经导管动脉化疗栓塞术(transcatheter arterial chemoembolization,TACE)联合125I 粒子植入治疗原发性肝癌的效果。方法 选取广州皇家丽肿瘤医院2022 年10 月至2023 年8 月收治的70 例原发性肝癌患者为研究对象,根据随机数字表法分为对照组(TACE 治疗)和研究组(TACE 联合125I 粒子植入治疗),各35 例。比较两组患者的疾病缓解率、不良反应发生率、复发率,以及治疗前后的T 细胞亚群(CD4+T 细胞、CD8+T 细胞)、炎症因子水平。结果 与对照组相比,研究组疾病缓解率更高(91.43%),

复发率更低(5.71%),差异有显著性(P < 0.05)。治疗前,两组T 细胞亚群及炎症因子水平无显著差异(P> 0.05);治疗后,研究组CD4+T 细胞、白介素-8 水平低于对照组,CD8+T 细胞、干扰素-γ 水平高于对照组,差异有显著性(P < 0.05)。两组不良反应发生率无显著差异(P > 0.05)。结论 TACE 联合125I 粒子植入治疗原发性肝癌,疗效显著,且安全有效。

关键词: 经导管动脉化疗栓塞术, 125I 粒子, 原发性肝癌

Abstract:

Objective To study the effect of transcatheter arterial chemoembolization (TACE) combine with 125I implantation in the treatment of primary liver cancer. Method A total of 70 patients with primary liver cancer admitted to Guangzhou RoyalLee Cancer Hospital from October 2022 to August 2023 were selected as the study subjects. They were divided into a control group (TACE treatment) and a study group (TACE combined with 125I implantation treatment) based on a randomized number table method, with 35 patients in each group. The disease remission rate, adverse reaction rate, recurrence rate, and T cell subsets (CD4+, CD8+) and inflammatory factor levels before and after treatment were compared between the two groups. Result Compared with the control group, the remission rate of disease in the study group was higher (91.43%), the recurrence rate was lower (5.71%), the

difference was statistically significant (P < 0.05). Before treatment, there was no significant difference in the levels of T cell subsets and inflammatory factors between the two groups (P > 0.05). After treatment, the levels of CD4+ and interleukin-8 in the study group were lower than those in the control group, while the levels of CD8+ and interferon-γ were higher than those in the control group (P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion TACE combined with 125I implantation in the treatment of primary liver cancer has significant efficacy, safety, and effectiveness.

Key words: Transcatheter arterial chemoembolization, 125I sead, Primary liver cancer