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温热低渗液联合丝裂霉素对小鼠腹水瘤腹腔种植的影响

The Effects of Hyperthermic and Hypotonic Solution in Combination with MMC in Mice Following Intraperitoneal Implantation of Ascitogenous Tumor Cells

  • 摘要: 目的 探讨低渗性温热化疗对小鼠腹水瘤细胞腹腔种植的影响及探索能够结合热化疗药物达到最佳疗效的灌注液介质的浓度。方法 以昆明小鼠腹水瘤为模型,观察不同温度、不同浓度的低渗液结合MMC抑制腹水瘤细胞的生长及其毒性作用。结果 以上方法均能破坏小鼠腹水瘤细胞,减少瘤细胞数量,抑制腹水产生,延长小鼠生存时间,S期肿瘤细胞百分率减少,瘤细胞DNA指数(DI)降低(P<0.05),且以43°C重蒸溜水(DDW)及MMC腹腔内灌注的方法疗效最佳。结论 低渗液,尤其是DDW结合热化疗药物行腹腔内灌注是进展期消化道肿瘤患者发生腹膜种植转移的一种新的、有效的治疗方法。

     

    Abstract: Objective To evaluate the efficacy of hyperthermia and hypotonic solution in combination with antitumor drugs in mice implanted intraperitoneally with ascitogenous tumor cells. Methods The model of ascitogenous tumor cells of KM mice was used.The effects on interfering formation of ascitogenous tumor and inhibiting free cells in ascites and toxic effects were systematically observed after treated with different hyperthermic and hypotonic solution in combination with MMC. Results Compared with the control, the results showed that cancer cells in KM mice peritoneal cavity were seriously damaged with decreasing number and progression of their ascites formation,the survival days were prolonged,the percent of tumor cells in Sphase and DNA index(DI)decreased(P<0.05).However.the best treatment result was observed in mice receiving MMC in 43°C DDW. Conclusion Hypotonic solution,especially DDW,and hyperthermia containing chemotherapentic agent by Ip infusion may be a new available treatment of choice in the management of peritoneal carciomatosis in advanced digestive cancer patients.

     

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