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华蟾素联合化疗治疗卵巢癌致恶性腹腔积液临床观察
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摘要
目的探讨腹腔灌注华蟾素联合静脉化疗治疗卵巢癌所致恶性腹腔积液的近期疗效及不良反应。方法:将2010年5月~2014年6月收治的90例经病理或细胞学确诊的卵巢癌所致恶性腹腔积液的患者随机分成两组。治疗组:腹腔灌注华蟾素(腹腔灌注华蟾素+利多卡因)化疗联合多西他赛全身化疗;对照组仅接受全身化疗,比较两组的近期疗效及不良反应。结果:两组患者腹水控制率分别为78%VS50%(P<0.05),生活质量分别为93.5%VS72.7%(P<0.05)差异均有统计学意义。两组患者不良反应发生率比较无统计学意义。结论:腹腔灌注联合化疗治疗卵巢癌所致恶性腹腔积液近期疗效优于单纯化疗组,且安全,患者耐受性好,值得临床推广。
objective to investigate the cinobufotalin abdominal cavity perfusion combined intravenous chemotherapy for breast cancer and ovarian malignant peritoneal effusion caused by the recent curative effect and adverse reactions. Methods:From May 2010 to June 2014 were 90 cases of breast and ovarian cancer confirmed by pathology or cytology and malignant peritoneal effusion patients were randomly divided into two groups. treatment group: peritoneal perfusion(cinobufotalin+ lidocaine) in abdominal cavity perfusion chemotherapy combined Docetaxel and systemic chemotherapy。The control group only received systemic chemotherapy. Observe two groups of hort-term curative effect and adverse reaction。Results: two groups of tumor the patient's quality of life were significantly improved, and the two groups of patients with ascites control rates were 78%, 50%(P < 0.05), the difference is statistically significant. Two groups of patients with adverse reaction rate were 41.3%, 40.9% has no statistical significance. Conclusion: abdominal hot perfusion chemotherapy for breast cancer and ovarian cancer caused by malignant peritoneal effusion in the near future curative effect is better than the pure chemotherapy group, and safe, good patient tolerance, worth clinical promotion.
引文
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