Effectiveness of Trastuzumab in Combination with Total Thyroidectomy in the Surgical Treatment of Thyroid Cancer and Influence on Inflammatory Cytokines
JIANG Bo-tao, YANG Pei-li, XU An-xia
Yunnan Midu County Hospital of Traditional Chinese, Midu Yunnan 675600
Abstract:【Objective】 To explore the effectiveness of trastuzumab in combination with total thyroidectomy in the surgical treatment of thyroid cancer an influence on serum inflammatory cytokines. 【Methods】 A total of 120 patients with thyroid cancer in our hospital were selected and divided into two groups. Patients in the control group received total thyroidectomy, while patients in the observation group received both thyroidectomy and trastuzumab treatment. The clinical effectiveness, hospital stay time after the operation, complications and serum level of inflammatory cytokines (CCL-18 and IL-6) were compared between the two groups. 【Results】 The rate of clinical effectiveness in the observation group was 98.3%(59/60),which was significantly higher than that in the control group [75.0%(45/60)](P<0.05). The average postoperative analgesia and hospital stay, VAS score at 12h and 24h after the operation in the observation group were all significantly lower than those in the control group(P<0.05). The levels of serum CCL-18 and IL-6 were significantly lower in the two groups after the treatment, while the observation group had significantly better results compared to the control group(P<0.05). There was no significant difference in the rate of complications between the two groups(P>0.05). 【Conclusion】 Trastuzumab in combination with total thyroidectomy in the surgical treatment of thyroid cancer has good clinical effect, which can lower serum level of CCL-18 and IL-6, shorten postoperative analgesia and hospital stay, decrease the risk of complications, It should be widely used in clinic.
江波涛, 杨培丽, 徐安霞. 曲妥珠单抗联合甲状腺全切除术治疗甲状腺癌的疗效及对患者炎症因子的影响[J]. 医学临床研究, 2020, 37(7): 1002-1004.
JIANG Bo-tao, YANG Pei-li, XU An-xia. Effectiveness of Trastuzumab in Combination with Total Thyroidectomy in the Surgical Treatment of Thyroid Cancer and Influence on Inflammatory Cytokines. JOURNAL OF CLINICAL RESEARCH, 2020, 37(7): 1002-1004.
[1] Papaleontiou M, Hawley ST, Haymart MR. Effect of Thyrotropin Suppression Therapy on Bone in Thyroid Cancer Patients[J].Oncologist,2016, 21(2):165-171.
[2] 胡月珍. 曲妥珠单抗与蒽环类药物不同联合治疗方案对乳腺癌的疗效及患者心脏功能的影响[J].实用癌症杂志, 2016, 31(10):1684-1686.
[3] 周洁,田春琴,钟敏.曲妥珠单抗治疗乳腺癌腺体切除术后HER2阳性患者的近远期疗效及安全性[J].癌症进展,2019,17(17):2026-2029.
[4] 张波.手术治疗结节性甲状腺肿合并甲状腺癌的临床效果[J].医学食疗与健康,2020,18(4):2-3.
[5] 刘建国. 全腔镜甲状腺次全切除术与开放式甲状腺切除术治疗早期分化型甲状腺癌患者对比研究[J].首都食品与医药, 2019, 26(11):31.
[6] Metallo M, Groza L, Brunaud L, et al. Long-term quality of life and rregnancy outcomes of differentiated thyroid cancer survivors treated by total thyroidectomy and I(131) during adolescence and young adulthood[J].Int J Endocrinol,2016, 2016(1):1-7.
[7] Louvet C, De BA, Pereira B, et al. Time course of Graves' orbitopathy after total thyroidectomy and radioiodine therapy for thyroid cancer[J].Medicine,2016, 95(48):e5474.
[8] 王建中, 王元阳.甲状腺癌炎性因子的表达水平及临床意义[J].国际老年医学杂志, 2019, 40(1):29-31.
[9] 刘峥, 谢春华, 杨基鹏,等. 乳腺癌患者血清内IL-6和CCL-18表达及其与临床病理因素的关系[J].现代生物医学进展, 2016,16(4):759-762.
[10] 邵士珺. 乳癌术后方对HER2阳性乳腺癌复发转移小鼠NF-κB表达的影响[J].中国中西医结合杂志, 2018, 38(2):208-212.