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125I-抗AFP抗体介入灌注联合化疗栓塞治疗肝癌的临床观察

The Effect of Infusion 125I-antiAFP Antibody via Hepatic Artery Combined with Chemo-embolization in Patients with Hepatocellular Carcinoma

  • 摘要: 目的 观察125I-抗AFP抗体经肝动脉灌注后在癌灶内的定位导向能力及与化疗栓塞(TACE)联合治疗肝癌的近期疗效和毒副作用。方法 肝动脉内介入灌注125I-抗AFP抗体联合行TACE,综合治疗肝癌36例。结果 导向组瘤/肝放射比值平均为1.86±0.72,有效率、AFP显著下降率及中位缓解期与TACE组相比,各为55.6%比41.2%(P>0.05)、77.8%比52.9%(P<0.05)、8.5M比5.6M(P<0.05)。两组的毒性反应相似。结论 经肝动脉灌注并与TACE联合可显著增强125I-抗AFP抗体在肝癌灶中的导向定位能力和滞留能力及内照射作用,提高综合疗效。

     

    Abstract: Objective To evaluate the hysteresis of 125Ⅰ-antiAFP antibody infused via hepatic artery combined with TACE in patients with HCC,and the effect and toxicity were observed. Methods In targetting therapy group (36 cases),125Ⅰ-antiAFP antibody was given as an intrahepatic artery infusion combined with TACE.34 cases reseived TACE alone group. Results Medium radioactive ratio of tumor/liver was 1.86±0.72 after targetting therapy.Response rate (PR+MR) were 55.6% and 41.2% for targetting therapy group and TACE alone group,respectively (P>0.05).Markedly reduced rate of serm AFP level and medium duration of response were 77.8% and 8.5%M for targetting therapy group and 52.9% and 5.6M for TACE alone group,respectively (P<0.05).Transient hypothyronine T3 and T4 occurred in 16.7% cases of targetting therapy group.The other toxicities were tolerable and similar in two groups. Conclusion 125Ⅰ-antiAFP antibody infusion via hepatic artery combined with TACE have a specific retentionist in the tumor mass.The efficacies of complex therapy were better than TACE alone for HCC,and the toxicities were tolerable.

     

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