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目的:在动物实验的基础上,我们将OPT-ms进行临床研究。材料和方法:选择26例原发性肝癌采用粒径为154μm-200μm,用量150mg-400mg:如微球加MMC(20mg)进行肝动脉灌注,平均2.6次。通过观察血清中AFP的下降和肿瘤在CT上最大层面的两相互垂直的最大径的乘积的改变判定其临床效果,可进行了粗略地随访。结果:93.3%的病人(14/15)AFP下降在50%以下。治疗后肿瘤缩小大于50%者12例占46.6%;缩小在25%-50%(MR)7例占26.9%;缩小(PR)小于25%(NC)5例占20%;2例增大(PD)占7.7%。所有治疗的病人临床症状得以好转和生活质量提高,生存期明显延长,全身副作用仅是一过性的。结论:初步临床应用表明:OPT-ms对于PLC肝动脉栓塞化疗效果是明显的,是一种良好未梢栓塞剂。
Objective: Based on animal experiments, we will conduct clinical studies of OPT-ms. Materials and Methods: Twenty-six patients with primary liver cancer were selected to have a particle size of 154 μm-200 μm and a dose of 150 mg-400 mg: if the microspheres plus MMC (20 mg) were used for hepatic artery perfusion, an average of 2.6 times. A cursory follow-up can be made by observing the decrease in serum AFP and the change in the product of the tumor’s maximal dimension of the tumor’s two largest vertical dimensions. RESULTS: In 93.3% of patients (14/15) AFP fell below 50%. After treatment, tumor shrinkage was more than 50% in 12 cases (46.6%); in 25%-50% (MR), 7 cases accounted for 26.9%; reduced (PR) was less than 25% (NC) in 5 cases in 20%; Two cases increased (PD) accounted for 7.7%. All patients treated had improved clinical symptoms and improved quality of life. The survival time was significantly longer and the systemic side effects were only transient. Conclusion: The preliminary clinical application shows that OPT-ms is effective for PLC hepatic artery embolization chemotherapy and is a good tipping embolic agent.