腹腔热灌注联合肿瘤细胞减灭术治疗晚期子宫内膜癌的疗效

目的:探讨IHCP+CDS治疗晚期子宫内膜癌的临床疗效和安全性。方法:选取治疗确诊为晚期子宫内膜癌的患者84例,随机分为观察组和对照组。观察组采用IHCP+CDS方案化疗,对照组采用常规灌注+肿瘤细胞减灭术方案化疗。比较两组的手术时间、临床疗效、复发率、生存时间和不良反应等。结果:观察组手术时间和术中腹水量比对照组少,两组差异明显(P0.05);观察组总有效率和24个月生存率比对照组高,而复发率比对照组低(P0.05);观察组恶心、麻木发生率较对照组低(P0.05);而白细胞降低、血小板降低和盆腔感染方面相互比较,无显著差异(P0.05)。结论:IHCP+CDS能有效改善晚期子宫内膜癌患者术前和术后对化疗的耐受性;提高患者的生存率和临床治疗效果。

Clinical Efficacy of Cytoreductive Surgery Combined with IntraperitonealHyperthermic Chemoperfusion Treatment for Advanced EndometrialCarcinoma

Objective:To explore the clinical effect and safety of cytoreductive surgery (CDS) combined with intraperitoneal hyperthermicchemoperfusion (IHCP) treatment on advanced endometrial carcinoma.Methods:The diagnosed 84 cases of advanced endometrialcarcinoma patients were divided randomly into observing group and control group. Patients in observing group were treatedwith IHCP+CDS, and those in control group were treated with ordinary chemotherapy+ CDS. Compare the operation time, clinical curativeeffect, recurrence rate, survival time and adverse reaction between two groups.Results:The operation time was shorter and intraoperativeascites was less in observing group than in control group, and the difference was statistical (P<0.05). The total effective rate and24-month survival rate was better in observing group than in control group (P<0.05). The observing group also had a lower reoccurrencerate than the control group (P<0.05). The incidences of nausea and numbness were lower in observing group than in control group (P <0.05); but there was no significant difference between two groups in leukopenia, thrombocytopenia and pelvic infection.Conclusion:IHCP+CDS could improve the general situation of preoperative advanced endometrial cancer, preoperative and postoperative chemotherapytolerance, and the survival and clinical patient outcomes.