Sun Junhui, Zhou Guanhui, Zhang Yuelin, Zhou Tanyang, Nie Chunhui, Zhu Tongyin, Chen Shengqun, Wang Baoquan, Yu Ziniu, Wang Hongliang, Chen Xinhua, Hong Liangjie, Chen Liming, Wang Weilin, Zheng Shusen
Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, Hepatobiliary and Pancreatic Clinical Medical Center, The First Affiliated Hospital, School of Medicine, Zhejiang University Key Laboratory of Combined Multi-organ Transplantation, Ministry of Public Health Key Laboratory of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic Tumor of Zhejiang Province Medical Engineering and Information Innovation Center, Zhejiang University Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases, Zhejiang University, Hangzhou, China.
Medicine (Baltimore). 2018 Jun;97(26):e11131. doi: 10.1097/MD.0000000000011131.
This study aimed to investigate the difference of common adverse events (AEs) between patients experienced first drug-eluting beads transarterial chemoembolization (DEB-TACE; FD) and second or higher DEB-TACE (SHD), and the factors influencing AEs.Five hundred twenty DEB-TACE records were retrospectively reviewed in this cohort study, among which 284 and 236 records were in FD and SHD groups, respectively. The incidence and/or severity of pain, fever, vomiting, and increased blood pressure (BP) were collected.Pain numerical rating scale (NRS) score, pain severity, body temperature, fever severity, and fever lasting days were higher in FD group than in SHD group, while no difference of vomiting and increased BP between 2 groups were disclosed. Age ≥65 years was associated with decreased high fever and less possibility of vomiting in FD group, and lower pain and fever severity in SHD group; Male decreased the possibility of vomiting in both the groups, and reduced increased BP incidence in SHD group; diabetes history correlated with decreased pain degree and less fever in FD group.In conclusion, SHD was better tolerated compared with FD in liver cancer patients, and older age as well as male were correlated with less occurrence or severity of common AEs in DEB-TACE operation.
本研究旨在探讨首次接受载药微球经动脉化疗栓塞术(DEB-TACE;FD)的患者与第二次或更高次DEB-TACE(SHD)的患者之间常见不良事件(AE)的差异,以及影响AE的因素。在这项队列研究中,回顾性分析了520例DEB-TACE记录,其中FD组和SHD组分别有284例和236例记录。收集疼痛、发热、呕吐和血压(BP)升高的发生率和/或严重程度。FD组的疼痛数字评定量表(NRS)评分、疼痛严重程度、体温、发热严重程度和发热持续天数均高于SHD组,而两组之间呕吐和血压升高无差异。年龄≥65岁与FD组高热减少和呕吐可能性降低相关,与SHD组疼痛和发热严重程度降低相关;男性使两组呕吐可能性降低,并降低SHD组血压升高发生率;糖尿病史与FD组疼痛程度减轻和发热减少相关。总之,在肝癌患者中,SHD比FD耐受性更好,年龄较大以及男性与DEB-TACE手术中常见AE的发生率或严重程度较低相关。