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腹腔缓释化疗联合术后静脉化疗治疗进展期直肠癌效果观察

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摘要 目的:探讨腹腔缓释化疗联合术后静脉化疗治疗进展期直肠癌的效果。方法:将80例进展期直肠癌患者随机分为两组,治疗组(n=40)行直肠癌根治术后于腹盆腔植入缓释氟尿嘧啶;对照组(n=40)术后单纯予以腹腔冲洗,两组患者术后均行FOLFOX方案静脉化疗6个周期。结果:两组均未出现腹盆腔出血及腹膜炎,腹盆腔感染、切口感染、吻合口瘘、肠粘连梗阻等并发症比较,差异均无统计学意义(P均>0.05);治疗组术后3 a局部复发(吻合口、癌床复发)和转移(腹膜、大网膜及腹膜后淋巴结转移)例数明显低于对照组,3 a存活例数治疗组明显高于对照组,差别均有统计学意义(P均<0.05)。结论:腹腔缓释化疗联合术后静脉化疗治疗进展期直肠癌安全有效,可以改善患者预后。
出处 《河南医学研究》 CAS 2014年第2期68-70,共3页 Henan Medical Research
基金 河南省卫生厅普通科技攻关项目(201001024)
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