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1、热灌注治疗与丝裂霉素灌注化疗电切术后膀胱肿瘤疗效对比分析【摘要】目的:比较热灌注治疗与丝裂霉素灌注化疗电切术后膀胱肿瘤的临床疗效。方法:将40例经电切术治疗的膀胱肿瘤患者按照随机数字表法分为观察组(n二20)和对照组(n二20),对照组术后给予丝裂霉素灌注化疗,观察组采用丝裂霉素热灌注化疗,比较两组的治疗效果。结果:两组不良反应发生率比较,差异无统计学意义(P>0.05)°观察组治疗后CD3+、CD4+高于对照组,3年生存率高于对照组,3年内复发率低于对照组,平均生存时间长于对照组,差异均有统计学意义(P〈0・05)。结论:热灌注治疗电切
2、术后膀胱肿瘤的疗效较好,可冇效提高生存率,降低复发率。【关键词】热灌注;丝裂霉素;电切术;膀胱肿瘤屮图分类号R737.1文献标识码A文章编号1674-6805(2015)7-0017-02CurativeEffectComparativeAnalysisofHyperthermicPerfusionTherapyandMitomycinPerfusionChemotherapyafterTransurethralResectionofBladderTumor/LTUMei-de,ZHANGYing-jie.//ChineseandFore
3、ignMedicalResearch,2015,13(7):17-18[Abstract]Objective:TocomparetheclinicaleffectofhyperthermicperfusiontherapyandMitomycinperfusionchemotherapyofbladdertumoraftertransurethralresection.Method:40casesofbladdertumorpatientswithtransurethralresectionwererandomlydividedintot
4、heobservationgroup(n=20)andthecontrolgroup(n=20),thecontrolgroupwasgivenMitomycinperfusionchemotherapyaftersurgery,theobservationgroupwasgivenMitomycinhyperthermicperfusiontherapy,thecurativeeffectsoftwogroupswerecompared.Result:Therewerenosignificantinadversereactionsbet
5、weentwogroups(P>0.05).CD3+,CD4+aftertreatmentintheobservationgroupwerehigherthanthoseofthecontrolgroup,3yearssurvivalratewashigherthanthatofthecontrolgroup,3yearsrecurreneeratewas1owerthanthatofthecontrolgroup,themeansurvivaltimewaslongerthanthatofthecontrolgroup,therewer
6、estatisticalsignificance(P〈0・05)・Conclusion:ThecurativeeffectofHyperthermicperfusiontherapyaftertransurethralresectionofbladdertumorisgood,itcaneffectivelyincreasethesurvivalrate,andreducetherecurrencerate.【Keywords]Hyperthermicperfusiontherapy;Mitomycin;Transurethralrese
7、ction;BladdertumorFirst-author'saddress:TheFirstClinicalCollegeofXinxiangMedicalUniversity,Weihui453100,Chinadoi:10.14033/j.enki.cfmr.2015.07.007经尿道膀胱肿瘤电切术是治疗膀胱肿瘤的冇效方法,具冇创伤小、恢复快、疗效确切等优点。但由于膀胱肿瘤以浅表肿瘤最为常见,术后容易复发。术后复发、种植和远处转移是患者死亡的重要原因。膀胱肿瘤电切术后进行膀胱内灌注是预防术后复发的有效治疗方法。热灌注方法是利用高
8、热能增加抗癌药物的热动力效应的一种治疗方法,可提高抗癌药物的疗效,减少复发率和转移率[1]。近年來,热灌注疗法在临床上的应用日益受到重视。本研究旨在探讨膀胱肿瘤电切术后进行热灌注治疗的临床疗效