|
|
Comparison of Prognosis of Patients with Liver Metastases of Colorectal Cancer Treated by Microwave Ablation, Transhepatic Arterial Chemotherapy and Embolization and Systemic Chemotherapy |
AI Dong-mei, QIAO Xiu-zhen, YU Hong-wei,et al |
Department of Oncology ,The Second People's Hospital of Hengshui(In cancer hospital 053000 |
|
|
Abstract 【Objective】To compare the prognosis of patients with liver metastases of colorectal cancer treated by microwave ablation, transhepatic arterial chemotherapy and embolization (TACE) and systemic chemotherapy. 【Methods】According to different treatment methods, 80 cases of patients with liver metastases of colorectal cancer were divided into the observation group (treated by microwave ablation+TACE sequential therapy) and the control group (treated by systemic chemotherapy). The short-term curative effect and prognosis (survival) were compared between the two groups, and the changes of cell immune function before and after treatment were determined and recorded. 【Results】The short-term objective response rate (ORR) of the observation group was 66.67% (28/42)while that of the control group was 42.10%(16/38), and the difference was significant (P<0.05). After initial treatment, positive rate of CD3+, CD4+ and the ratio CD4+/CD8+ were significantly higher, and CD8+ was significantly lower in the observation group than those in the same group before treatment and those in the control group after treatment (P<0.05). The median survival time of the observation group was 26.00 months while that of the control group was 13.60 months (P<0.05). 【Conclusion】On the basis of systemic chemotherapy , microwave ablation + TACE can significantly improve the effective rate of treatment for patients with liver metastases of colorectal cancer, significantly improve the immune function and prolong the survival time of patients.
|
Received: 01 April 2017
|
|
|
|
|
[1] 张世杰,石明,方万强,等.射频消融联合肝动脉栓塞化疗治疗无法切除的结直肠癌肝转移瘤的疗效[J].山西医科大学学报,2015,46(4):356-359. [2] 中华医学会外科学分会胃肠外科学组等.结直肠癌肝转移诊断和综合治疗指南(2016版)[J].中华消化外科杂志,2016,15(8):755-767. [3] Vouche M, Kulik L, Atassi R,et al.Radiological-pathological analysis of WHO, RECIST, EASL, m RECIST and DWI: Imaging analysis from a prospective randomized trial of Y90 ± sorafenib[J].Hepatology,2013, 58(5):1655-1666. [4] 许湘宁,李永浩,吴飞跃,等.结直肠癌肝转移的手术治疗[J].医学临床研究,2015,32(3):565-566,567. [5] 计勇.新辅助化疗对结直肠癌肝转移患者肝功能及组织学的影响[J].中华消化外科杂志,2013,12(11):879-881. [6] 赵增富,任庆莹,王茹芳,等.TACE联合RFA治疗胃癌术后肝转移29例[J].中国现代普通外科进展,2014,17(6):472-474. [7] 汪鑫.精准序贯介入治疗结直肠癌术后不可切除肝转移瘤的临床效果观察[J].临床肝胆病杂志,2016,32(3):518-521. |
|
|
|