王 徽,孙志强,张北光.介入热灌注化疗栓塞对肝癌患者血管内皮生长因子的影响[J].中国肿瘤,2012,21(12):944-946.
介入热灌注化疗栓塞对肝癌患者血管内皮生长因子的影响
Effect of Interventional Hyperthermia Chemoembolization on Serum Vascular Endothelial Growth Factor in Patients with Hepatocellular Carcinoma
投稿时间:2012-11-27  
DOI:
中文关键词:  肝肿瘤  介入性热化疗  栓塞  血管内皮生长因子
英文关键词:hepatocellular carcinoma  interventional heated chemotherapy  embolization  vascular endothelial growth factor
基金项目:长春市科技局项目(编号:08SF24)
作者单位
王 徽 吉林省肿瘤医院 
孙志强 吉林省肿瘤医院 
张北光 吉林省肿瘤医院 
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中文摘要:
      摘 要:[目的] 探讨介入热灌注化疗栓塞对肝癌患者血管内皮生长因子(VEGF)的影响。[方法] 采用ELISA方法检测60例原发性肝癌患者(介入热疗组30例和常规介入组30例)治疗前后VEGF的变化,并对两组数据进行对比分析。[结果] 治疗前介入热疗组血清VEGF中位值为256.42pg/ml,常规介入组为255.16pg/ml;治疗后1周介入热疗组为179.37pg/ml,较前下降;常规介入组343.58pg/ml,较治疗前升高,两组比较均有显著性差异(P<0.05)。介入热疗组2年生存率(70%)明显高于常规介入组(50%)。[结论] 介入热灌注化疗栓塞可抑制VEGF的产生,对减少肿瘤新生血管的形成、防止或降低肿瘤的复发起到积极的作用,其疗效优于常规介入疗法,是治疗中晚期肝癌的一种安全有效的方法。
英文摘要:
      Abstract: [Purpose] To observe the effect of interventional hyperthermia chemoembolization(IHCE) on serum vascular endothelial growth factor(VEGF) in patients with hepatocellular carcinoma. [Methods] A total of 60 cases with primary hepatocellular carcinoma were divided into two groups: IHCE group (30 cases) and conventional intervention chemoembolization (ICE) group (30 cases). The levels of VEGF were examined by ELISA method. [Results]Before treatment the median of VEGF was 256.42 pg/ml in IHCE group,while one week after treatment it was 179.37 pg/ml,with significant difference(P<0.05). Before treatment the median of VEGF was 255.16 pg/ml in ICE group,while one week after treatment it was 343.58 pg/ml,with significant difference(P<0.05). The 2?鄄year survival rate in IHCE group(70%) was higher than that in ICE group(50%)(P<0.05). [Conclusion] IHCE inhibits producting VEGF,which plays a positive role in reducing the formation of vascular growth of neoplasm and preventing or reducing the recurrence of neoplasm. It is a safe and effective method in the treatment for advanced hepatocellular carcinoma.
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