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1、甲胎蛋白检测对原发性肝癌诊治的作用长沙市第四医院核医学科410006摘要:目的:观察原发性肝癌患者的甲胎蛋白变化,分析对比其结果的意义,并探讨甲胎蛋白检测对原发性肝癌诊治的作用。方法:对木院174例原发性肝癌患者、良性肝病患者和同期健康者进行甲胎蛋白检测,其中原发性肝癌患者共63例、良性肝病患者共59例作为实验组,同期健康者共52例作为对照组,同时对各组进行甲胎蛋白检测结果分析,评价甲胎蛋白检测在诊治原发性肝癌的临床价值。结果.•在63例原发性肝癌患者中,甲胎蛋白检测浓度是(331.7±80.3)ng/ml,良性
2、肝病患者的甲胎蛋白检测浓度是(36.9±12.7)ng/ml,正常健康者的甲胎蛋白检测浓度是(5.3±2.1)ng/ml,差异有统计学意义(P<0.05)。结论:在原发性肝癌诊断中,甲胎蛋白检测结果发挥重要作用,甲胎蛋白检测对原发性肝癌诊治只有更重要的临床价值。关键词:原发性肝癌;甲胎蛋白;诊断治疗[Abstract]Objective:Observetheeffectsofthalidomidetreatmentofelderlypatientsandrelapsedmultiplemyeloma
3、clinicalefficacyandeffectivenessandsafety,andtoexplorethemosteffectivemechanismforthetreatmentofsenilerelapsedmultiplemyeloma.Method:clinicalobservationon13casesofprimarytreatmentand12patientsabove60yearsofagewithrecurrentelderlymyelomapatients,weremadeofarsenictrio
4、xidecombinedwiththalidomidetreatment,intravenousarsenictrioxideforlOmg/dwhich,atthesametime,thecontinuousinjection28days,orallowdosethalidomide100200mmg/d,accordingtotheactualsituationofpatientsmaybeappropriatetoincrease,themaximumthelimitis300mg/d,28daysforacourseo
5、ftreatment,takingtwocoursesoftreatment,efficacyandsideeffectswereobservedduringtheevaluationofcurativeeffect,inaccordancewiththestandardEBMTeffect,accordingtotheNCICTCAECTCAE(NationalCancerInstituteCommonTerminologyCriteriaforAdverseEvents,version3)standardtoevaluat
6、etheadversereaction.Result:inthe13patientsnewlydiagnosed5casesofpartialremission(38.46%),5casesofprogress(38.46%),and3casesineffective(23.08%).ln12casesofsenilemultiplemyelomapatients,4casesofpartialremission(33.3%),5cases(41%)hadimprovement,3cases(25%)areinvalid,th
7、etotaleffectiveratewas74.3%.Observedthat,inthetreatmentofcommonadversereactionsarenauseaandfatigue,abdominaldistensionandconstipation,skinrash,liverinjury,neutropenia,butaftertreatmentwillimprove.Conclusion:Arsenictrioxidethalidomideforthetreatmentofsenilerelapsedmu
8、ltiplemyelomaissafeandeffective,worthyofpromotion.【Keywords】Arsenictrioxide;Thalidomide;Elderlyandrelapsedmultiplemyeloma原发性肝癌是常见的恶性肿瘤之一,死