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1、Chinese-GermanJClinOncolOctober2013,Vol.12,No.10,P498–P501DOI10.1007/s10330-013-1222-y雷替曲塞动脉灌注化疗分析(威客yyhf5)梁军,元龙陈,潘慧娟,钱鹰,徐丹,李敏无锡市惠山区人民医院肿瘤科,邮编214187,中国无锡市惠山区AbstractObjective:Theaimofthisstudywastoanalysisraltitrexedbythesafetyandefficacyofintra-arterialinfusi
2、onchemotherapy.Methods:Forty-sevencasesindifferentpartsofcancerpatients,interventionalmethods,basedondigitalsubtractionangiography(DSA)prompt,raltitrexed-basedchemotherapy,thetumornourisharteryinfusionchemotherapy.Patientswithpostoperativechemotherapysideeffec
3、tsandcomplications,andefficacyassessments.Results:Forty-sevenpatients,2patientshadII–IIIdegreeofbonemarrowsuppression,theratewas4.26%,34casesofItoIIdegreegastrointestinalreactions,1caseofgradeIIIgastrointestinalreactions,theincidenceof2.13%,and1casemilddiarrhe
4、a.Idegreesormorechemotherapy-relatedadversereactionsdidnotoccurinthisgroupofpatients.Allpatientsreceivedatleast2timesarterialinfusionchemotherapy,completeremission(CR)3cases,partialremission(PR)11cases,stabledisease(SD)17cases,diseaseprogression(PD)6cases,tota
5、leffectiverateoftreatment87.23%.Conclusion:Raltitrexedforintra-arterialchemotherapyissafeandeffective.However,duetothesmallnumberofthisgroupofpatients,timeisshort,itssafety,efficacyandlong-termefficacyneedsfurtherobservationandvalidation.【摘要】目的:本研究的目的是分析由动脉灌注的
6、雷替曲塞化疗方法安全性和有效性。方法:使用介入法,对47例癌症患者的不同部位,在数字减影血管造影(DSA)辅助下,使用以雷替曲塞为药物基础的肿瘤动脉灌注入化疗。患者术后化疗的毒副作用和并发症疗效评估:四十七例患者中,2例出现Ⅱ〜Ⅲ度骨髓抑制,发生率为4.26%,出现34例Ⅰ〜Ⅱ度胃肠道反应,1例Ⅲ级胃肠道反应,发病率为%2.13,1例轻度腹泻。在这组患者中没有出现1度以上化疗相关的不良反应。所有患者均接受至少2次动脉灌注化疗,完全缓解(CR)3例,部分缓解(PR)11例,疾病稳定(SD)17例,疾病恶化(PD)6例
7、,治疗总有效率达87.23%。结论:雷替曲塞动脉灌注化疗是安全有效的。然而,由于本组中病例少,时间短,其安全性,疗效和远期疗效有待进一步观察和验证。Keywordsraltitrexed;transcatheterarterialchemo-infusion;security;validity关键词雷替曲塞;导管动脉化疗灌注;安全性;有效性Raltitrexedtothyminesynthetaseinhibitor,isquinazolinefolateanalogs,arecytotoxicdrugs,prim
8、arilyforthetreatmentofcolorectalcancer.Accordingtoforeignliterature,raltitrexedhasalsobeenusedinclinicaltreatmentofgastriccancer,-10-Chinese-GermanJClinOncolOctober2013,Vol.12,No.1