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Callisphere药物洗脱微球经动脉化疗栓塞术与传统经动脉化疗栓塞术治疗肝细胞癌的比较

Comparison of Callisphere Drug-Eluting Beads Transarterial Chemoembolization and Conventional Transarterial Chemoembolization for the treatment of Hepatocellular Carcinoma.

作者信息

Ren Yongjun, Zhao Caixia, Xiong Yongfu, Liu Zhongbai, Wu Guo

机构信息

Yongjun Ren, Department of Hepatobiliary Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province 637000, P.R. China.

Caixia Zhao, Department of Oncology, Nanchong Central Hospital, Nanchong, Sichuan Province 637000, P.R. China.

出版信息

Pak J Med Sci. 2024 Jan-Feb;40(3Part-II):303-307. doi: 10.12669/pjms.40.3.8572.

Abstract

OBJECTIVE

To compare the efficacy of CalliSphere drug-eluting beads (DEBs) and conventional (c) transarterial chemoembolization (TACE) in the treatment of hepatocellular carcinoma (HCC).

METHODS

We retrospectively reviewed the clinical data of 125 patients with HCC who had received treatment in Affiliated Hospital of North Sichuan Medical College from January 2018 to February 2019. Sixty-one patients underwent DEB-TACE (observation group) and 64 patients underwent cTACE (control group). The clinical efficacies, overall survivals, and incidence of postoperative adverse reactions between the two groups were compared.

RESULTS

The objective response rate in the observation group (85.25%) was higher than that in the control group (70.31%; <0.05). The disease control in the observation group (96.72%) was higher than that in the control group (85.94%; <0.05). The median survival time of the observation group (24.85 months) was significantly higher than that in the control group (18.18 months; <0.05). The incidence of adverse reactions in the observation group (4.92%) was lower than that in the control group (17.19%, <0.05).

CONCLUSIONS

In the treatment of HCC, Callisphere DEB-TACE has better efficacy and longer patient survival with fewer adverse reactions compared to cTACE.

摘要

目的

比较载药微球(CalliSphere)药物洗脱微球(DEB)与传统经动脉化疗栓塞术(cTACE)治疗肝细胞癌(HCC)的疗效。

方法

回顾性分析2018年1月至2019年2月在川北医学院附属医院接受治疗的125例HCC患者的临床资料。61例患者接受DEB-TACE治疗(观察组),64例患者接受cTACE治疗(对照组)。比较两组的临床疗效、总生存期及术后不良反应发生率。

结果

观察组的客观缓解率(85.25%)高于对照组(70.31%;P<0.05)。观察组的疾病控制率(96.72%)高于对照组(85.94%;P<0.05)。观察组的中位生存时间(24.85个月)显著高于对照组(18.18个月;P<0.05)。观察组的不良反应发生率(4.92%)低于对照组(17.19%,P<0.05)。

结论

在HCC治疗中,与cTACE相比,载药微球DEB-TACE具有更好的疗效,患者生存期更长,不良反应更少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5984/10862419/23d28affba6c/PJMS-40-303-g001.jpg

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