摘要
目的探讨术后早期持续腹腔热灌注化疗（CHPP）对进展期胃癌的疗效。方法将70例进展期胃癌患者随机分为两组：治疗组胃癌根治术后第1—2天开始行CHPP，每131次，共4次；对照组单纯行胃癌根治术。两组术后2-3周均予以四氢叶酸钙和氟尿嘧啶（LF方案）静脉全身化疗6个疗程。观察并比较患者术后生存和肿瘤复发情况。结果治疗组和对照组术后1年生存率分别为83．3％和79．4％，两组差异无统计学意义（P〉0．05）；3年生存率分别为63．9％和39．8％，差异有统计学意义（P〈0．05）。治疗组与对照组术后1年肿瘤复发率分别为8．3％和11．7％，两组差异无统计学意义（P〉0．05）；3年复发率分别为19．4％和44．1％，两组差异有统计学意义（P〈0．05）。结论进展期胃癌患者术后早期CHPP有利于降低复发率和提高生存率。
Objective To evaluate the efficacy of early continuous hyperthermic peritoneal perfusion （CHPP） on patients of advanced gastric carcinoma after surgical resection. Methods Seventy patients were divided into control and treatment group. Patients in treatment group received CHPP 1 or 2 days postoperatively. Treatment was administered daily consecutively for 4 days. Patients in control group underwent resection of gastric carcinoma without CHPP. Chemotherapy was administered of Calcium Folinate and 5-Fluorouraeil （LF regimen） intravenously for 6 cycles in both groups two or three weeks postoperatively. Survival and recurrence in both groups were observed and compared. Results One-year survival and recurrence rates were 83.3% and 8.3% in treatment group, 79.4% and 11.7% in control group, there were no significant differences between the two groups. Three-year survival and recurrence rates were 63.9% and 19.4 in treatment group, 39.8% and 44.1% in control group, there were significant differences between the two groups. Conclusion Early administration of CHPP to patients with advanced gastric carcinoma after surgery may be advantageous for preventing peritoneal metastasis and recurrence, thus may prolong survival time.
出处
《中华胃肠外科杂志》
CAS
2008年第5期448-450,共3页
Chinese Journal of Gastrointestinal Surgery
关键词
胃肿瘤
输注
腹腔
化学疗法
局部灌注
治疗效果
Stomach neoplasms
Abdominal cavity
Chemotherapy, regional perfusion
Treatment outcome
