D-TACE联合靶免治疗与c-TACE联合靶免治疗中晚期肝癌临床疗效对比研究
目的:观察D-TACE联合靶免治疗与c-TACE联合靶免治疗中晚期肝癌临床疗效并进行对比研究。方法:对20例(1组)及21例(2组)中晚期肝癌患者分别进行D-TACE联合靶免治疗与c-TACE联合靶免治疗,观察两组近期(6个月)疗效和远期(48个月)疗效。治疗后每三个月复查,记录两组患者6个月CR、PR、ORR、SD、DCR;两组中位生存期。结果:DEB-TACE联合靶免组在近期疗效(6个月)优于c-TACE联合靶免组,前者6个月ORR达到65%,后者ORR 为47.62%;前者DCR 达到了85.00%,而后者为71.43%。1组中位生存期31.067个月,2组中位生存期26.126 个月。结论:DEB-TACE组联合靶免(1组)与c-TACE联合靶免组(2组)在治疗中晚期肝癌相比临床疗效具有优势。
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