[1]姚 玮,张君儒,陈连锁,等.雷替曲塞TACE治疗胃癌术后肝转移的近期疗效观察[J].介入放射学杂志,2016,(02):125-128.
 YAO Wei,ZHANG Jun- ru,CHEN Lian- suo,et al.Interventional perfusion chemoembolization with raltitrexed for postoperative hepatic metastasis from gastric cancer: analysis of short- term effect[J].journal interventional radiology,2016,(02):125-128.
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雷替曲塞TACE治疗胃癌术后肝转移的近期疗效观察     ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年02期
页码:
125-128
栏目:
肿瘤介入
出版日期:
2016-02-25

文章信息/Info

Title:
Interventional perfusion chemoembolization with raltitrexed for postoperative hepatic metastasis from gastric cancer: analysis of short- term effect
作者:
姚 玮 张君儒 陈连锁 巩祥胜 郭 丽 张振山 王旭初 冯娜娜
Author(s):
YAO Wei ZHANG Jun- ru CHEN Lian- suo GONG Xiang- sheng GUO Li ZHANG Zhen- shan WANG Xu- chu FENG Na- na
Department of Interventional Vascular Surgery, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou, Hebei Province 061001, China
关键词:
【关键词】 胃癌 肝转移 经肝动脉灌注化疗栓塞术 雷替曲塞
文献标志码:
A
摘要:
【摘要】 目的 探讨雷替曲塞在TACE治疗中晚期原发性肝癌中的疗效及安全性。方法 收集 2012 年1 月至2015 年1 月胃癌术后肝转移患者52 例,将患者随机分为观察组(n=26)和对照组(n=26)。观察组:雷替曲塞(3 mg/m2)联合奥沙利铂(100 mg/m2)、吡柔比星(40 mg/m2)行TACE 治疗;对照组:5- 氟尿嘧啶(500 mg/m2)联合奥沙利铂(100 mg/m2)、吡柔比星(40 mg/m2)行 TACE治疗。每间隔4~6周行1次TACE。TACE 术2个周期根据改良的实体瘤疗效评价标准(RECIST)评价疗效。评价两组介入治疗的客观有效率(RR)、疾病控制率(DCR)及不良反应发生率。结果 观察组和对照组的RR分别为50.0%、19.2%(P<0.05);DCR分别为84.6%、53.8%(P<0.05)。两组的不良反应主要为恶心、呕吐、骨髓抑制、发热及转氨酶升高等,差异均无统计学意义(P>0.05)。结论 雷替曲塞较5- 氟尿嘧啶在 TACE 治疗胃癌术后肝转移近期疗效显著,不良反应可耐受。

参考文献/References:

[1] 刘晓红, 曹智新, 耿 明, 等. Wnt- 5a基因在胃癌中的表达及意义[J]. 世界华人消化杂志, 2010, 18: 1222- 1226.
[2] Park JO, Lee SI, Song SY, et al. Measuring response in solid tumors: comparison of RECIST and WHO response criteria[J]. Jpn J Clin Oncol, 2003, 33: 533- 537.
[3] 周际昌. 实用肿瘤内科学[M]. 第2版. 北京: 人民卫生出版社, 2003: 56- 58.
[4] Sano T, Sasako M, Kinoshita T, et al. Recurrence of early gastric cancer. Follow- up of 1475 patients and review of the Japanese literature[J]. Cancer, 1993, 72: 3174- 3178.
[5] Saka M, Morita S, Fukagawa T, et al. Present and future status of gastric cancer surgery[J]. Jpn J Clin Oncol, 2011, 41: 307- 313.
[6] Achyut BR, Yang L. Transforming growth factor- β in the gastroin- testinal and hepatic tumor microenvironment[J]. Gastroenterology, 2011, 141: 1167- 1178.
[7] Suzuki R, Shibata T, Niinobu T, et al. Three long surviving patients with gastric cancer metastasizing to the liver under interdiscip- linary therapy[J]. Gan To Kagaku Ryoho, 2000, 27: 1997- 2000.
[8] 李海伟, 魏 宏, 罗娅红, 等. 奥沙利铂介入栓塞并留管灌注联合替吉奥口服治疗胃癌术后肝转移的近期疗效[J]. 山东医药, 2014, 54: 64- 65.
[9] 孙卫东, 任普海, 冯晓峰, 等. 介入治疗在胃癌以及胃癌肝转移治疗中的应用价值[J]. 交通医学, 2012, 26: 217- 220.
[10] Waldman BC, Wang Y, Kilaru K, et al. Induction of intrachromo- somal homologous recombination in human cells by raltitrexed, an inhibitor of thymidylate synthase[J]. DNA Repair (Amst), 2008, 7: 1624- 1635.
[11] Wilson KS, Malfair Taylor SC. Raltitrexed: optimism and reality[J]. Expert Opin Drug Metab Toxicol, 2009, 5: 1447- 1454.
[12] Hao MC, Yin XZ, Wang H, et al. Synthesis of anticancer drug raltitrexed[J]. Chin J Med Chemistry, 2007, 17: 368- 371.

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备注/Memo

备注/Memo:
(收稿日期:2015-06-28)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2016-02-22