微波联合腹腔热灌注化疗治疗晚期腹盆腔恶性肿瘤临床分析

    Combined introperitoneal hyperthermic chemoperfusion and local microwave radiofrequency thermotherapy in treatment of advanced peritoneopelvic malignant tumors

    • 摘要: 目的:探讨晚期腹盆腔恶性肿瘤(伴有或不伴有腹腔积液)采用腹腔热灌注化疗加微波热疗的疗效及毒副反应。方法:59例晚期腹盆腔恶性肿瘤患者随机分两组,联合治疗组30例,采用腹腔热灌注化疗加微波热疗;对照组29例,采用单纯腹腔热灌注化疗。结果:联合治疗组有效率为70.00%,对照组为31.03%,差异有统计学意义(P<0.01);两组毒副作用除出汗(P<0.01)外,其余差异均无统计学意义(P>0.05)。联合治疗组治疗后生活质量较对照组治疗后提高(P<0.05);联合治疗组治疗后白细胞功能升高,与对照组差异有统计学意义(P<0.05)。结论:微波联合腹腔热灌注化疗适用于晚期腹盆腔恶性肿瘤伴腹腔积液,尤其有肝脏及门静脉转移患者治疗,能够明显改善患者的生活质量和白细胞的吞噬功能。

       

      Abstract: Objective: To explore the therapeutic effect,toxic and side effect of introperitoneal hyperthermic chemoperfusion combined with local microwave radiofrequency thermotherapy for treatment of advanced peritoneo-pelvic malignant tumors(with or without abdominal water).Methods: Fifty-nine cases were divided into two groups at random.One group received introperitoneal hyperthermic chemoperfusion and local microwave radiofrequency thermotherapy(treatment group),the other received intropertoneal chemotherapy only(control group).Results: The effect rate in the treatment group reached 70.00%,while it was 31.03% in the control group.The difference was significant(P<0.01).And the side-effect had no difference between the two groups except sweating(P<0.01).The qulity of life of the treatment group was better than that of the control group(P<0.05).The white blood cells in the treatment group increased significantly compared with that before treatment and that of the control group(P<0.05).Conclusions: The combination therapy of introperitoneal hyperthermic chemoperfusion and local microwave radiofrequency thermotherapy is effective on advanced peritoneo-pelvic malignant tumors with abdominal water.It may improve the life quality of the patients,as well as the phagocytosis function of the white blood cells.

       

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