江汉大学学报(自然科学版) ›› 2022, Vol. 50 ›› Issue (5): 81-89.doi: 10.16389/j.cnki.cn42-1737/n.2022.05.011

• 医学 • 上一篇    下一篇

恩度联合热灌注治疗恶性腹腔积液的研究进展

盛津津1,马燕凌*2   

  1. 1. 江汉大学 医学院,湖北 武汉 430056;2. 江汉大学 附属湖北省第三人民医院,湖北 武汉 430033
  • 发布日期:2022-09-30
  • 通讯作者: 马燕凌
  • 作者简介:盛津津(1996— ),女,硕士生,研究方向:肿瘤学。
  • 基金资助:
    湖北省重点研发计划项目(2020CBC05)

Research Progress in Endostat Combined with Hyperthermic Perfusion in Treating Malignant Ascites

SHENG Jinjin1,MA Yanling*2   

  1. 1. School of Medicine,Jianghan University,Wuhan 430056,Hubei,China; 2. The Third People′s Hospital of Hubei Province,Wuhan 430033,Hubei,China
  • Published:2022-09-30
  • Contact: MA Yanling

摘要: 肿瘤晚期病人恶性腹腔积液(malignant ascites,MA)的形成原因是临床肿瘤学的一个关键问题,可能引起最严重的表现包括严重腹痛、恶病质、厌食和乏力等。近年来,不少研究者已在离体的恶性相关积液中找到了血管内皮生长因子(vascular endothelial growth factor,VEGF)高表达,虽无法确定 VEGF 是恶性积液的原因,但其拮抗物恩度(重组人血管内皮抑制素)在恶性腹腔积液治疗的发展前景乐观。近年来兴起的热灌注化疗技术,是对腹腔内罕见疾病的辅助治疗手段,化疗药物和热灌注治疗有协同效应,热效应有助于药物进入肿瘤细胞内发挥良好的杀伤效果。就恩度联合热灌注治疗恶性腹腔积液的有关研究成果和临床经验,并根据近期国内外的有关论文,对恩度联合热灌注治疗恶性腹腔积液(MA)的研究进行综述。

关键词: 重组人血管内皮抑制素/恩度, 热灌注, 肿瘤, 恶性腹腔积液

Abstract: The formation reason of malignant ascites(MA)in patients with advanced cancer is a key issue in clinical oncology,which may cause the most serious manifestations,including severe abdominal pain,cachexia,anorexia,fatigue,etc. Many researchers have recently found high vascular endothelial growth factor (VEGF) expression in isolated malignant effusions. Although it can′t be determined whether VEGF is the cause of malignant effusions, its antagonist endostatin (recombinant human endostatin) has a promising development prospect in treating malignant ascites. The hyperthermic perfusion chemotherapy technology emerging in recent years is adjuvant therapy for rare intraabdominal diseases. The chemotherapeutic drugs and hyperthermic perfusion therapy have a synergistic effect,and the thermal effect helps the drugs enter the tumor cells and exert a good killing effect. This paper introduces the research results and clinical experience of Endostat combined with hyperthermic perfusion in treating malignant ascites,and reviews the research of Endostat combined with hyperthermic perfusion in treating malignant ascites based on recent domestic and foreign papers.

Key words: recombinant human endostatin/endostatin, hyperthermic perfusion, tumor, malignant ascites

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