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[晚期卵巢癌的动脉内化疗。2. 技术、结果、并发症]

[Intra-arterial chemotherapy in advanced ovarian cancer. 2. Technic, results, complications].

作者信息

Lotze W, Richter P, Sarembe B

出版信息

Zentralbl Gynakol. 1987;109(8):532-9.

PMID:3300103
Abstract

Between 1978 and 1984 43 patients with advanced ovarian carcinomas got intra-arterially MTX and 5-FU after being operated, later they received systemically a CMFV chemotherapy (therapy arm A). 42 patients were treated systemically only with a CMFV combination. The results and complications of both types of treatment were evaluated according to theoretical and technical basis of the intraarterial infusion. The intra-arterial chemotherapy led to a significant better rate of remission (74 per cent in therapy arm A compared with 62 per cent in therapy arm B) because of a rapid induction of remission. The cumulative survival time was significantly extended to 27 months compared with 16 months after systemic therapy only.

摘要

1978年至1984年间,43例晚期卵巢癌患者术后接受了甲氨蝶呤和5-氟尿嘧啶的动脉内注射,随后他们接受了CMFV全身化疗(治疗组A)。42例患者仅接受CMFV联合全身治疗。根据动脉内灌注的理论和技术基础,对两种治疗方式的结果和并发症进行了评估。由于缓解诱导迅速,动脉内化疗导致缓解率显著提高(治疗组A为74%,治疗组B为62%)。与仅接受全身治疗后的16个月相比,累积生存时间显著延长至27个月。

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