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中国癌症防治杂志 ›› 2011, Vol. 3 ›› Issue (4): 309-312.doi: 10.3969/j.issn.1674-5671.2011.04.11

• 临床研究 • 上一篇    下一篇

肝癌切除术中局部植入5-氟尿嘧啶缓释剂的安全性研究

汤阳阳, 林新居, 彭民浩, 彭涛, 肖开银   

  1. 广西医科大第一附属医院肝胆外科
  • 出版日期:2011-12-25 发布日期:2012-01-20
  • 通讯作者: 肖开银 E-mail:xiaokaiyin@163.com

The safety of implanting slow-releasing 5-fluorouracil in abdominal cavity during the operation on hepatocellular carcinoma

TANG Yang-Yang, LIN Xin-Ju, PENG Min-Hao, PENG Tao, XIAO Kai-Yin   

  • Online:2011-12-25 Published:2012-01-20

摘要: 目的 探讨肝癌术中局部使用5-氟尿嘧啶缓释剂化疗的安全性。方法 经根治性手术切除的肝癌患者随机分为两组,治疗组腹腔内植入5-氟尿嘧啶缓释剂,对照组术中不进行腹腔内干预性治疗。观察5-氟尿嘧啶缓释剂植入后对血常规、肝肾及凝血功能、腹腔引流量、术后并发症和住院日等的影响。结果 两组患者术后血常规、肝肾及凝血功能等指标比较,差异均无统计学意义(P>0.05)。植入组术后局部疼痛、胸腔积液发生率及腹腔引流液量均明显高于对照组(P<0.05),其它术后并发症发生率及住院日两组间差异均无统计学意义(P>0.05)。结论 肝癌术中使用5-氟尿嘧啶缓释剂局部区域化疗,对机体器官功能影响较小,术后并发症较轻,具有较好的安全性。

关键词: 肝肿瘤, 5-氟尿嘧啶, 区域化疗, 并发症

Abstract: Objective To study the safety of regional implant of slow-releasing 5-fluorouracil microparticles into abdominal cavity during the operation on hepatocellular carcinoma (HCC).Methods  Patients with radical resection of HCC were divided randomly into two groups. Treatment group were implanted slow-releasing 5-fluorouracil microparticles into abdominal cavity, the control group were without intraperitoneal chemotherapy.The blutbild, functions of liver and kidney, blood coagulation, peritoneal drainage, length of hospital stay and postoperative complications were observed.Results There were no significant difference on the indexes of blutbild, blood coagulation, functions of liver and kidney between the two groups (P>0.05).The local pain, incidence of pleural effusion and volume of abdominal drainage were significantly higher in the treatment group than that of control group (P<0.05).The incidences of other postoperative complication and length of hospital stay were not significantly different (P>0.05).Conclusions Using the slow-releasing 5-Fluorouracil microparticles in patients with HCC can improve the effect of regional chemotherapy.The treatment is with less impact on organ-functions, less post-operative complications and?good safety.

Key words: Hepatocellular carcinoma, 5-Fluorouracil, Regional chemotherapy, Complication