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中华结直肠疾病电子杂志

中华结直肠疾病电子杂志 ›› 2016, Vol. 05 ›› Issue (05) : 424 -427. doi: 10.3877/cma.j.issn.2095-3224.2016.05.011

所属专题： 专题评论； 文献；

论著

腹腔内注射贝伐珠单抗治疗结直肠癌患者恶性腹腔积液的疗效和安全性评价
钟漓1,†(), 赵志1, 朱小宝1, 冉福林1, 陈霄1   
  1. 1. 541000　桂林医学院附属医院胃肠外科
  • 收稿日期:2016-05-17 出版日期:2016-10-25
  • 通信作者: 钟漓
  • 基金资助:
    吴阶平医学基金资助项目(No.320.6750.13390)

The short-term effect and safety of anti-malignant ascites treated with intraperitoneal injection of bevacizumab

Li Zhong1,†(), Zhi Zhao1, Xiaobao Zhu1, Fulin Ran1, Xiao Chen1   

  1. 1. Department of Gastrointestinal Surgery, Guilin Medical College Affiliated Hospital, Guilin 541000, China
  • Received:2016-05-17 Published:2016-10-25
  • Corresponding author: Li Zhong
  • About author:
    Corresponding author: Zhong Li, E-mail:
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钟漓, 赵志, 朱小宝, 冉福林, 陈霄. 腹腔内注射贝伐珠单抗治疗结直肠癌患者恶性腹腔积液的疗效和安全性评价[J]. 中华结直肠疾病电子杂志, 2016, 05(05): 424-427.

Li Zhong, Zhi Zhao, Xiaobao Zhu, Fulin Ran, Xiao Chen. The short-term effect and safety of anti-malignant ascites treated with intraperitoneal injection of bevacizumab[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2016, 05(05): 424-427.

目的

探讨腹腔内注射贝伐珠单抗治疗恶性腹腔积液的近期疗效及安全性；

方法

收集46例桂林医学院附属医院胃肠外科2010年3月至2014年5月伴有难以控制的恶性腹腔积液的晚期结直肠癌患者。检测其腹腔积液中VEGF含量；并利用单因素生存分析对比两组患者的预后。

结果

对照组的血清VEGF平均值为（671.8±499.15）pg/mL，与治疗组［平均值为（665.19.19±499.15）pg/mL］相比差异无统计学意义。治疗组中，治疗前腹腔积液VEGF量的平均值为（1 225.11±609.71）pg/mL，无穿刺中位生存时间为6个月（1~21个月）。与对照组相比，治疗组的穿刺引流时间明显延长（t值=6.328，P<0.05）。治疗后，腹腔积液的VEGF量（317.69±172.14）pg/mL，与治疗前相比差异存在统计学意义。治疗后的血清VEGF平均值为（170.61±115.92）pg/mL，与治疗前差异具有统计学意义。在生存分析中，治疗组的预后明显好于对照组（P<0.05）。

结论

对于一部分合适的患者，腹腔内注射贝伐珠单抗对于恶性腹腔积液的治疗可能是一种有效地、安全的治疗手段。

关键词: 结直肠肿瘤, 治疗, 抗VEGF, 贝伐珠单抗, 恶性腹水
Objective

To investigate the short-term effect and safety of anti-malignant ascites treated with intraperitoneal injection of bevacizumab.

Methods

46 colorectal cancer patients with uncontrolled malignant ascites at the A?liated Hospital of Guilin Medical College from 2010 to 2014 were enrolled in this study. Investigate the VEGF value of malignant ascites and analyze the survival time of two groups.

Results

The mean VEGF value of control group is 671.8±499.15 pg/mL, and has not statistically significant than treatment group (mean value: 1225.11±609.71 pg/mL). In treat group, the mean VEGF value is 1225.11±609.71 pg/mL before treatment. The median survival time of non-paracentesis is 6 months (1~21 months). In contrast with control group, the time of non-paracentesis is significantly longer in treatment group (6.328, P<0.05). After treatment, the mean VEGF value is 317.69±172.14 pg/mL in treatment group. There is statistically significant than control group. In survival analysis, treatment group shows signi?cantly better overall survival (OS) (P<0.05).

Conclusion

For a part of appropriate patients, treated with intraperitoneal injection of bevacizumab is an effective and safety method.

Key words: Colorectal neoplasm, Therapy, Anti-VEGF, Bevacizumab, Malignant ascites
表1 对照组与治疗组中血清VEGF与无穿刺生存时间对比（±s）
组别 例数 血清VEGF（pg/mL） 无穿刺生存时间（月）
对照组 20 671. 8±499. 15 2. 75±1. 44
治疗组 26 665. 19±499. 15 6. 92±3. 47
t值 ? 10. 246 6. 328
P值 ? 0. 965 <0. 001
表2 治疗组治疗前后VEGF值的比较（±s）
组别 例数 血清VEGF（pg/mL） 腹水VEGF（pg/mL）
治疗前 26 665. 19±499. 15 1225. 11±609. 71
治疗后 26 170. 61±115. 92 317. 69±172. 14
t值 ? 5. 841 4. 332
P值 ? <0. 001 <0. 001
图1 治疗组与对照组的总体生存的比较
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