临床肿瘤学杂志

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洛铂腔内灌注治疗恶性胸腹腔积液的临床观察

田欣,张振勇,吴丽娜,吴荣   

  1. 中国医科大学附属盛京医院肿瘤二病房
  • 收稿日期:2013-02-22 修回日期:2013-05-06 出版日期:2013-08-31 发布日期:2013-08-31
  • 通讯作者: 张振勇

Clinical observation of lobaplatin used for intracavitary instillation on malignant pleuroperitoneal cavity hydrops

TIAN Xin,ZHANG Zhenyong,WU Lina,WU Rong   

  1. The SecondTumor Ward of Shengjing Hospital of China Medical University
  • Received:2013-02-22 Revised:2013-05-06 Online:2013-08-31 Published:2013-08-31
  • Contact: ZHANG Zhenyong

摘要: 目的 观察胸腹腔内灌注洛铂治疗恶性胸腹腔积液的疗效及毒副反应。方法 2010年11月至2012年11月收治32例恶性胸腹腔积液患者,经B超检查定位胸腹腔置管,尽量抽净积液,洛铂30mg/m2胸腹腔灌注,每周1次,连续2周,最多灌注4次;治疗2周后评价疗效及毒副反应。结果 32例患者均完成2次以上胸腹腔灌注,完全缓解9例(28.1%),部分缓解15 例(46.9%),无变化8例(25.0%)。全组患者的总有效率为75.0%,胸腔积液有效率为80.0%,腹腔积液有效率为66.7%。毒副反应主要包括胸(腹)痛、发热、血小板减少和轻度消化道反应,经对症处理后好转。结论 洛铂胸腹腔灌注治疗恶性胸腹腔积液的疗效确切,毒副反应小,值得临床推广。

Abstract: Objective To observe the curative effects and adverse reaction about lobaplatin used for intracavitary instillation on malignant pleuroperitoneal cavity hydrops. Methods Thirty-two patients with malignant pleuroperitoneal cavity hydrops,locationed by B-ultrasonic wave and given puncturing and inserting catheter,were given lobaplatin for intracavitary instillation,once a week,for 2 weeks,4 times at most. The curative effects and toxicity were evaluated after 2 weeks. Results Thirty-two patients were given intracavitary instillation for at least 2 times. Of all the patients, complete response(CR) was observed in 9 patients(28.1%), partial response in 15 patients(46.9%), NS in 8 patients(25.0%). The response rate(RR) was 75.0%. The RR of pleural effusion and seroperitoneum was 80.0% and 66.7%, respectively. The toxicity mainly included chest or abdominal pain,fever,low platelets and digestive tract reaction. Conclusion Lobaplatin is effective used for intracavitary instillation on malignant pleuroperitoneal cavity hydrops with mild adverse reaction,so it is worth to be popularized.

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