Xin Y, Xue F, Zhao F
Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing, China.
Chin Med J (Engl). 1997 May;110(5):379-83.
To investigate the effect of electrochemical therapy (ECT) in the treatment of middle and late-stage lung cancers.
Three hundred and eighty-six cases (287 males md 99 females aged 25-78, with an average age of 51 years) with middle and late-stage lung cancers were treated with ECT. Two hundred and three patients had squamous cell carcinoma, 138 adenocarcinoma and 45 undifferentiated cancer. Diameters of the cancers were respectively 4.0-6.0 cm in 153 cases, 6.1-8.0 cm in 82 cases, 8.1-10.0 cm in 102 cases and over 10.0 cm in 49 cases. In this group, none was at stage I, 103 cases were at stage II, 89 cases at IIIa, 122 cases at IIIb and 72 cases IV. Of the 386 cases, 152 cases (39.4%) also suffered from hypertension, heart disease etc. Anode and cathode platinum electrodes were inserted accurately into the tumour mass. Distance between two electrodes was 2.0-2.5 cm. Electrodes were connected to a special ECT instrument. The current was maintained at 6-8 V and 80-100 mA. One hundred coulombs are used for treating 1 cm diameter of tumour mass.
Of the 386 cases, 99 cases (25.6%) achieved complete remission (CR). 179 cases (46.4%) achieved partial remission (PR), 59 cases (15.3%) had no change (NC) and 49 cases (12.7%) had progression of disease (PD). Effective rate CR + PR) was 72% (278 cases). One to five year survival rates were 86.3%, 76.4%, 58.8%, 39.9% and 29.5%, respectively.
ECT is easy to use. It is effective, safe, less traumatic and makes patients recover quickly. This is a new and effective method to treat patients with tumours who are inoperable and can not receive chemotherapy or radiotherapy.
探讨电化学疗法(ECT)治疗中晚期肺癌的效果。
386例中晚期肺癌患者(男性287例,女性99例,年龄25 - 78岁,平均年龄51岁)接受了ECT治疗。其中203例为鳞状细胞癌,138例为腺癌,45例为未分化癌。肿瘤直径在153例中为4.0 - 6.0 cm,82例中为6.1 - 8.0 cm,102例中为8.1 - 10.0 cm,49例中超过10.0 cm。该组中,无I期患者,103例为II期,89例为IIIa期,122例为IIIb期,72例为IV期。386例患者中,152例(39.4%)还患有高血压、心脏病等。阳极和阴极铂电极准确插入肿瘤块中。两电极之间的距离为2.0 - 2.5 cm。电极连接到一台特殊的ECT仪器上。电流维持在6 - 8 V和80 - 100 mA。每治疗1 cm直径的肿瘤块使用100库仑电量。
386例患者中,99例(25.6%)达到完全缓解(CR)。179例(46.4%)达到部分缓解(PR),59例(15.3%)无变化(NC),49例(12.7%)疾病进展(PD)。有效率(CR + PR)为72%(278例)。1至5年生存率分别为86.3%、76.4%、58.8%、39.9%和29.5%。
ECT操作简便。它有效、安全、创伤小且患者恢复快。这是一种治疗无法手术且不能接受化疗或放疗的肿瘤患者的新的有效方法。