CT引导下经皮微波消融治疗肺部恶性肿瘤的疗效观察

IF 0.7 4区 生物学 Q4 BIOLOGY Indian journal of experimental biology Pub Date : 2023-09-29 DOI:10.56042/ijeb.v61i10.5839
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引用次数: 0

摘要

肺癌是临床常见的恶性肿瘤。在本研究中,我们旨在评估计算机断层扫描(ct)引导下经皮微波消融(MWA)对肺部恶性肿瘤的治疗效果。选取2015年1月至2017年1月在我院就诊的60例患者作为研究对象。将其分为对照组(30例恶性肺癌患者行化疗)和观察组(30例患者行ct引导下经皮MWA)。比较客观有效率、血清肿瘤标志物、不良反应发生率、长期生存率、复发率和生活质量评分。MWA患者客观有效率为66.7%(化疗组为40.00%;P & lt; 0.05)。两组患者术后血清癌胚抗原(CEA)、癌抗原125 (CA125)、CA153水平均低于术前(P <0.05),其中观察组的趋势尤为显著;P & lt; 0.05)。在MWA患者中,共有10.00%的患者出现不良反应(化疗患者为33.33%;P & lt; 0.05)。两组患者治疗后的生活质量评分均高于治疗前(P <0.05),其中观察组患者的生活质量评分最高(P <0.05)。对于恶性肺肿瘤患者,ct引导下经皮MWA可增强短期疗效,控制肿瘤进展,减轻不良反应和远期局部复发,提高长期生存率,改善生存期生活质量。
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Therapeutic effects of computerized tomography (CT)-guided percutaneous microwave ablation on malignant lung tumors
Lung cancer is a common clinical malignancy. In this study, we aimed to evaluate the therapeutic effects of computerized tomography ()-guided percutaneous microwave ablation (MWA) on malignant lung tumors. Sixty patients in our hospital enrolled between January 2015 and January 2017 were picked up as subjects. They were allocated into control group (30 malignant lung cancer patients underwent chemotherapy) and observation group (thirty patients received CT-guided percutaneous MWA). Later, comparisons of the objective response rate, tumor markers in serum, prevalence rate of untoward effects, long-term survival rate, relapse rate and quality-of-life (QoL) score were implemented. MWA patients showed an objective response rate of 66.7% (the rate was 40.00% in chemotherapy group; P <0.05). Serum carcinoembryonic antigen (CEA), cancer antigen 125 (CA125) and CA153 had lower levels after MWA in both groups than those before MWA (P <0.05) (this tendency was especially striking in observation group; P <0.05). In MWA patients, totally 10.00% of patients showed untoward effects (this was 33.33% in chemotherapy patients; P <0.05). The QoL scores were higher after MWA in both groups than those before MWA (P <0.05), especially in the observation group (P <0.05). For patients with malignant lung tumors, CT-guided percutaneous MWA may augment the short-term efficacy, control the tumor progression, relieve the adverse reactions and long-term local recurrence, increase the survival rate for a long term and improve the QoL during survival.
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来源期刊
CiteScore
1.57
自引率
33.30%
发文量
84
审稿时长
6 months
期刊介绍: This journal, started in 1963, publishes full papers, notes and reviews in cell biology, molecular biology, genetic engineering, endocrinology, reproductive biology, immunology, developmental biology, comparative physiology, radiation biology, chronobiology, microbiology, pharmacology, toxicology and other biological fields including instrumentation and methodology. The papers having experimental design involving alteration and/or manipulation in biological system(s) providing insight into their functioning are considered for publication. Studies involving higher animals, human beings and of clinical nature are not encouraged for publication in the journal.
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