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中晚期卵巢癌术后腹腔内热灌注化疗(IPCH)的临床疗效及其对肿瘤标志物和免疫功能的影响。

Clinical effects of IPCH after the surgery for ovarian cancer at the middle or advanced stage and its impacts on tumor markers and immune functions.

作者信息

Li Heyue, Zhang Yan, Tang Hong, Li Linxia

机构信息

Heyue Li, Division of Urological and Reproductive Medicine, Shanghai 7 People's Hospital, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200137, China.

Yan Zhang, Division of Urological and Reproductive Medicine, Shanghai 7 People's Hospital, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200137, China.

出版信息

Pak J Med Sci. 2024 Oct;40(9):1919-1924. doi: 10.12669/pjms.40.9.8720.

Abstract

OBJECTIVE

To evaluate the clinical effects of intraperitoneal chemohyperthermia (IPCH) in the treatment of postoperative patients with advanced stage ovarian cancer, and its impacts on tumor markers and immune functions.

METHODS

This is a retrospective study. One hundred and twenty patients with advanced stage ovarian cancer received in Shanghai 7th People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from May 10, 2022 to June 10, 2023 were selected and randomly divided into control and study groups (n=60 each group). Patients in the control group were administered routine intravenous chemotherapy, the study group underwent IPCH besides routine intravenous chemotherapy based on the control group. Comparatively analyzed the clinical effects, adverse reaction occurrence rates, and variations in relevant observation targets, the tumor marker after and before the treatment.

RESULTS

Total efficacy in the study and control groups are proved to be with statistically significant differences. The occurrence of adverse reactions proved that no significant differences is seen between both groups. After the treatment, CEA, CA19-9, and CA125 levels in patients of the study group are apparently lower than those in the control group, showing statistically significant differences; expression levels of CD3, CD4 and CD4/CD8, in the study group were enormously above those in the control group after the treatment, with statistically significant differences.

CONCLUSIONS

IPCH has the potential to effectively enhance comprehensively clinical therapeutic effects among postoperative patients with ovarian cancer, significantly improve patients' immune states, and evidently reduce expression levels of various tumor markers.

摘要

目的

评估腹腔内热化疗(IPCH)治疗晚期卵巢癌术后患者的临床效果及其对肿瘤标志物和免疫功能的影响。

方法

这是一项回顾性研究。选取2022年5月10日至2023年6月10日在上海中医药大学附属第七人民医院收治的120例晚期卵巢癌患者,随机分为对照组和研究组(每组n = 60)。对照组患者接受常规静脉化疗,研究组在对照组基础上除常规静脉化疗外还接受IPCH。比较分析两组的临床效果、不良反应发生率以及相关观察指标(治疗前后肿瘤标志物)的变化。

结果

研究组和对照组的总疗效有统计学显著差异。不良反应的发生情况表明两组之间无显著差异。治疗后,研究组患者的癌胚抗原(CEA)、糖类抗原19-9(CA19-9)和糖类抗原125(CA125)水平明显低于对照组,差异有统计学意义;治疗后研究组的CD3、CD4和CD4/CD8表达水平显著高于对照组,差异有统计学意义。

结论

IPCH有可能有效全面提高卵巢癌术后患者的临床治疗效果,显著改善患者的免疫状态,并明显降低各种肿瘤标志物的表达水平。

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Ovarian Cancer Immunotherapy and Personalized Medicine.卵巢癌免疫治疗与个性化医学。
Int J Mol Sci. 2021 Jun 18;22(12):6532. doi: 10.3390/ijms22126532.

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