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肝动脉化疗栓塞联合细胞免疫治疗对肝癌术后预防复发的研究
Study on transcatheter arterial chemoembolization combined with cellular immunotherapy in prevention of recurrence after hepatocellular carcinoma resection

微创医学 201603期 页码:329-332

作者机构:福建省肿瘤医院 1介入治疗科;2腹部外科;3内科研究室;福州市350014

基金信息:作者简介:陈示光(1979~),男,硕士,主治医师,研究方向:恶性肿瘤及其并发症的介入诊疗。

DOI:DOI:10.11864/j.issn.1673.2016.03.06

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨肝动脉插管化疗栓塞(TACE)联合CIK细胞免疫疗法预防肝癌切除术后复发的影响。方法140例接受肝癌根治性切除术的患者,根据术后2个月内是否行预防性TACE及CIK治疗分为三组:术后行预防性TACE术联合CIK免疫治疗者57例为联合预防组;术后行预防性TACE术者41例为TACE预防组;仅行支持对症治疗者42例为对照组。对比分析三组患者术后1、2、3年的累积复发率及术后复发的独立危险因素。结果联合预防组1、2、3年的累积复发率为39.9%、49.2%和57.3%;TACE预防组1、2、3年的累积复发率为43.5%、68.5%和81.5%;对照组1、2、3年的累积复发率为51.2%、61.3%和68.3%。联合预防组与TACE预防组比较,差异有统计学意义(P=0.040),联合预防组与对照组比较,差异有统计学意义(P=0.046),单纯TACE预防组与对照组比较,差异无统计学意义(P=0.800)。肿瘤个数是术后复发的独立危险因素。结论术后补充TACE术联合CIK细胞免疫治疗是降低患者复发率的有效手段,对于多发肿瘤尤为显著。
ObjectiveTo investigate the effect of transcatheter arterial chemoembolization (TACE) combined with CIK cell immunotherapy in the prevention of recurrence after hepatocellular carcinoma resection. MethodsA total of 140 patients with HCC treated with radical hepatectomy were analysed retrospectively.According to whether or not accepted prophylactic TACE and CIK within 2 months after hepatectomy,the patients were divided into conmined therapy group(57 cases),TACE group (41 cases) and control group(42 cases).Patients in combined therapy group were given prophylactic TACE combined with CIK immunotherapy following hepatectomy.Patients in TACE group were given prophylactic TACE following hepatectomy.Patients in control group only received supportive therapy.1-,2-,3-year cumulative recurrence rate and the independent risk factors for tumor recurrence were analyzed comparatively. Results1-,2-,3-year cumulative recurrence rate in combined therapy group were 39.9%,49.2% and 57.3%,those in TACE group were 43.5%,68.5% and 81.5%,and those in control group were 51.2%,61.3% and 68.3%,respectively.There was significant difference between combined therapy group and TACE group(P=0.040),and between combined therapy group and control group(P=0.046).There was not significant difference between TACE group and control group (P=0.800).The number of tumors was the independent risk factor for HCC recurrence. ConclusionAdjuvant TACE combined with CIK immunotherapy after HCC hepatectomy can be an effective method for reducing recurrence rate,especially in multiple liver cancer.

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