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[5-氟尿嘧啶和顺铂持续动脉灌注化疗治疗肝细胞癌患者的研究]

[The study of continuous arterial infusion chemotherapy with 5-FU and CDDP in patients with hepatocellular carcinoma].

作者信息

Yanagi I, Koga A, Aso K, Shirotani T, Komesu I, Okuda K, Ohgami N, Sou H, Shibata J, Kumabe T

机构信息

Dept. of Surgery, Amagi Asakura Medical Association Hospital.

出版信息

Gan To Kagaku Ryoho. 1994 Sep;21(13):2207-10.

PMID:7944441
Abstract

Between Feb. 1992 and March in 1994, 14 patients with hepatocellular carcinoma (7: recurrence, 7: unresectable) received continuous arterial infusion of 5-FU and CDDP via implanted reservoir. For the next five days, 10 mg/body of CDDP and 250 mg/body of 5-FU using arterial infusion were administered. It was discontinued for two days, as one course, and 4 courses were basally administered. The duration of the administration was 24 or 6 hours/day. Side effects consisted of nausea or loss of appetite for 7 (50%), suppression of bone marrow for 3 (21%), and they disappeared after the agents were discontinued. However, there were 3 patients with gastro-duodenal ulcer, so careful follow-up was necessary. The efficacy rate was 64% and two-year survival rate was 57% and thus this treatment seemed to be effective. Further study on the duration and dose of the administration is necessary to improve the therapeutic effect and QOL.

摘要

1992年2月至1994年3月期间,14例肝细胞癌患者(7例复发,7例无法切除)通过植入式储液器接受了5-氟尿嘧啶和顺铂的持续动脉灌注。在接下来的五天里,通过动脉灌注给予顺铂10mg/体和5-氟尿嘧啶250mg/体。以两天为一个疗程停药,基本给予4个疗程。给药时间为每天24小时或6小时。副作用包括7例(50%)出现恶心或食欲不振,3例(21%)出现骨髓抑制,停药后副作用消失。然而,有3例患者患有胃十二指肠溃疡,因此需要仔细随访。有效率为64%,两年生存率为57%,因此这种治疗似乎有效。有必要进一步研究给药时间和剂量,以提高治疗效果和生活质量。

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