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顺铂微球肝动脉化疗栓塞术。实验研究。

Hepatic arterial chemoembolization with CDDP microcapsules. Experimental studies.

作者信息

Wang Y, Wu M C, Zhang X H

机构信息

Institute of Hepatobiliary Surgery, Second Military Medical University, Shanghai.

出版信息

Chin Med J (Engl). 1992 Feb;105(2):120-5.

PMID:1597070
Abstract

After cis-diamminedichloroplatinum ethylcellulose microcapsules (CDDPmc) and unencapsulated CDDP were infused into the hepatic arteries of New Zealand rabbits, both CDDP concentrations in the circulating blood and in hepatic tissue were measured at different time intervals. In the rabbits infused with CDDPmc, the CDDP concentration was maintained at a high level for a significantly longer time in the hepatic tissue and the maximum CDDP level in the circulating blood was greatly reduced, as compared with those in the rabbits infused with unencapsulated CDDP. The tumoricidal effects of arterial infusion of CDDPmc were also evaluated in a model of liver tumor in rats. The therapeutic effects on rat liver tumor of CDDPmc were superior to those of unencapsulated CDDP and blank ethylcellulose microcapsules. The rats treated with CDDPmc showed a significantly lower tumor growth ratio, more extensive tumor necrosis and longer survival time. The results of this study indicate that CDDPmc is a more potential dosage from than conventional CDDP for hepatic arterial infusion in the treatment of liver cancer.

摘要

将顺二氯二氨铂乙基纤维素微胶囊(CDDPmc)和未包裹的顺铂注入新西兰兔的肝动脉后,在不同时间间隔测量循环血液和肝组织中的顺铂浓度。与注入未包裹顺铂的兔子相比,注入CDDPmc的兔子肝组织中的顺铂浓度在较长时间内维持在较高水平,且循环血液中的最大顺铂水平大幅降低。还在大鼠肝肿瘤模型中评估了动脉注射CDDPmc的杀肿瘤效果。CDDPmc对大鼠肝肿瘤的治疗效果优于未包裹的顺铂和空白乙基纤维素微胶囊。接受CDDPmc治疗的大鼠肿瘤生长率显著降低,肿瘤坏死更广泛,生存时间更长。本研究结果表明,在肝癌治疗中,CDDPmc作为肝动脉灌注的一种剂型比传统顺铂更具潜力。

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