Fu Fei, Wan Yeda, Wu Tao
Department of Radiology, Tianjin Hospital, Tianjin, China.
J Cancer Res Ther. 2014 Aug;10 Suppl 1:38-41. doi: 10.4103/0973-1482.139753.
The purpose of this study was to evaluate the Kanglaite (KLT) injection combined with hepatic arterial intervention for treatment of unresectable hepatocellular carcinoma (HCC) by meta-analysis.
Computerized bibliographic searching were undertaken to identify all eligible published studies about the KLT injection combined with hepatic arterial intervention for unresectable hepatocellular carcinoma (HCC). PubMed, EMBASE, Chinese National Knowledge Infrastructure (CNKI) and Wanfang databases were all searched to included the suitable trails. The odds ratios (ORs) and its corresponding 95% confidence intervals (95% CIs) were calculated as effect size with fixed-effect or random-effect models according to the heterogeneity test across the studies.
Nine trails were finally included in this meta-analysis. The objective response rate (ORR) was significant improved in the group of KLT injection combined with hepatic arterial intervention compared to hepatic arterial intervention alone (OR =1.80, 95% CI:1.18-2.75, P < 0.05); The combined treatment can significant improve the KSP score (OR = 3.22, 95% CI:1.36-7.60, P < 0.05) and relief the pain of patients compared to that in single treatment (OR = 2.57, 95% CI:1.65-3.99, P < 0.05).
KLT injection combined with hepatic arterial intervention can improve the short-term clinical efficacy, quality of life, and decrease the pain of patients with unresectable HCC.
本研究旨在通过荟萃分析评估康莱特(KLT)注射液联合肝动脉介入治疗不可切除肝细胞癌(HCC)的效果。
通过计算机文献检索,查找所有关于KLT注射液联合肝动脉介入治疗不可切除肝细胞癌(HCC)的符合条件的已发表研究。检索了PubMed、EMBASE、中国知网(CNKI)和万方数据库,以纳入合适的试验。根据各研究间的异质性检验,采用固定效应或随机效应模型计算比值比(OR)及其相应的95%置信区间(95%CI)作为效应量。
本荟萃分析最终纳入9项试验。与单纯肝动脉介入治疗相比,KLT注射液联合肝动脉介入治疗组的客观缓解率(ORR)显著提高(OR = 1.80,95%CI:1.18 - 2.75,P < 0.05);联合治疗与单一治疗相比,能显著提高Karnofsky功能状态评分(KSP)(OR = 3.22,95%CI:1.36 - 7.60,P < 0.05),并减轻患者疼痛(OR = 2.57,95%CI:1.65 - 3.99,P < 0.05)。
KLT注射液联合肝动脉介入治疗可提高不可切除HCC患者的短期临床疗效、生活质量,并减轻患者疼痛。