Zhao Guangqiang, Huang Yunchao, Ye Lianhua, Duan Lincan, Zhou Yongchun, Yang Kaiyun, Ma Qianli, Lei Yujie, Song Xin, Huang Ming, Yang Yinshan
Department of Cardiothoracic Surgery, the Third Affiliated Hospital of Kunming Medical College.
Zhongguo Fei Ai Za Zhi. 2009 Sep 20;12(9):1000-4. doi: 10.3779/j.issn.1009-3419.2009.09.011.
The therapeutic efficacy of late lung-cancer was very poor, and cytokine-induced killer cells (CIK) were paid more attention to treat non-small cell lung cancer (NSCLC). The aim of this study is to get insight into the role of bronchial arterial infusion bronchial arterial infusion (BAI) plus CIK about NSCLC by comparing therapeutic efficacy among BAI, traditional vein chemotherapy and BAI plus CIK, for late NSCLC.
A total of 120 patients were enrolled in this study, dividing randomly into three groups: bronchial arterial infusion (BAI), traditional vein chemotherapy and BAI plus CIK. Clinical effects and side effects were estimated after two period of therapy.
The effective rate (CR+PR%) of combined group is higher than the traditional vein chemotherapy group (66.67%, n=39) and there are significant differences (Chi-square=4.721, P=0.03); The side effect of rate of BAI plus CIK group is significantly lower than the traditional vein chemotherapy group, and so did the non-bone marrow inhibition side effects (P<0.05). The tumor progression rate (PD%) of bronchial arterial infusion (BAI) group is higher than combined group (Chi-square=4.287, P=0.038). There was no difference between the traditional vein chemotherapy group and combined group (Chi-square=0.082, P=0.775).
Bronchial Artery Infusion combined with cytokine-induced killer cells is an ideal, safety, effective comprehensive treatment method for late stage lung cancer.
晚期肺癌的治疗效果很差,细胞因子诱导的杀伤细胞(CIK)在治疗非小细胞肺癌(NSCLC)方面受到更多关注。本研究旨在通过比较支气管动脉灌注(BAI)、传统静脉化疗和BAI联合CIK治疗晚期NSCLC的疗效,来深入了解BAI联合CIK对NSCLC的作用。
本研究共纳入120例患者,随机分为三组:支气管动脉灌注(BAI)组、传统静脉化疗组和BAI联合CIK组。经过两个疗程的治疗后评估临床疗效和副作用。
联合组的有效率(CR + PR%)高于传统静脉化疗组(66.67%,n = 39),差异有统计学意义(卡方 = 4.721,P = 0.03);BAI联合CIK组的副作用发生率明显低于传统静脉化疗组,非骨髓抑制副作用也是如此(P < 0.05)。支气管动脉灌注(BAI)组的肿瘤进展率(PD%)高于联合组(卡方 = 4.287,P = 0.038)。传统静脉化疗组与联合组之间无差异(卡方 = 0.082,P = 0.775)。
支气管动脉灌注联合细胞因子诱导的杀伤细胞是治疗晚期肺癌的一种理想、安全、有效的综合治疗方法。