中晚期卵巢癌术后 IPCH 的临床效果及其对肿瘤标志物和免疫功能的影响。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-10-01 DOI:10.12669/pjms.40.9.8720
Heyue Li, Yan Zhang, Hong Tang, Linxia Li
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引用次数: 0

摘要

目的评估腹腔内化疗热疗(IPCH)治疗晚期卵巢癌术后患者的临床效果及其对肿瘤标志物和免疫功能的影响:这是一项回顾性研究。选取2022年5月10日至2023年6月10日期间在上海中医药大学附属第七人民医院接受治疗的120例晚期卵巢癌患者,随机分为对照组和研究组(每组60例)。对照组患者进行常规静脉化疗,研究组患者在对照组基础上进行常规静脉化疗的同时进行IPCH治疗。比较分析治疗前后的临床疗效、不良反应发生率、相关观察指标、肿瘤标志物的变化:结果:研究组和对照组的总疗效差异有统计学意义。不良反应发生率方面,研究组与对照组无明显差异。治疗后,研究组患者的 CEA、CA19-9、CA125 水平明显低于对照组,差异有统计学意义;治疗后,研究组患者的 CD3+、CD4+、CD4+/CD8+ 表达水平明显高于对照组,差异有统计学意义:IPCH可有效提高卵巢癌术后患者的临床综合治疗效果,显著改善患者的免疫状态,明显降低各种肿瘤标志物的表达水平。
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Clinical effects of IPCH after the surgery for ovarian cancer at the middle or advanced stage and its impacts on tumor markers and immune functions.

Objective: To evaluate the clinical effects of intraperitoneal chemohyperthermia (IPCH) in the treatment of postoperative patients with advanced stage ovarian cancer, and its impacts on tumor markers and immune functions.

Methods: This is a retrospective study. One hundred and twenty patients with advanced stage ovarian cancer received in Shanghai 7th People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from May 10, 2022 to June 10, 2023 were selected and randomly divided into control and study groups (n=60 each group). Patients in the control group were administered routine intravenous chemotherapy, the study group underwent IPCH besides routine intravenous chemotherapy based on the control group. Comparatively analyzed the clinical effects, adverse reaction occurrence rates, and variations in relevant observation targets, the tumor marker after and before the treatment.

Results: Total efficacy in the study and control groups are proved to be with statistically significant differences. The occurrence of adverse reactions proved that no significant differences is seen between both groups. After the treatment, CEA, CA19-9, and CA125 levels in patients of the study group are apparently lower than those in the control group, showing statistically significant differences; expression levels of CD3+, CD4+ and CD4+/CD8+, in the study group were enormously above those in the control group after the treatment, with statistically significant differences.

Conclusions: IPCH has the potential to effectively enhance comprehensively clinical therapeutic effects among postoperative patients with ovarian cancer, significantly improve patients' immune states, and evidently reduce expression levels of various tumor markers.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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