ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-05-036 临床药物与手术治疗 2026, 2(05): 141-144

洛铂与顺铂联合氟尿嘧啶介入治疗胃肠道肿瘤肝转移的价值

贵州大秦肿瘤医院

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摘要

目的 探讨洛铂与顺铂分别联合氟尿嘧啶(5-FU)在胃肠道肿瘤肝转移介入治疗中的临床应用价值。方法 选取2024年1月至2025年10月70例胃肠道肿瘤伴有肝脏转移患者,采用随机数字表法分为两组,各35例。对照组采用5-FU联合顺铂治疗,观察组采用洛铂与5-FU联合治疗,对比两组治疗效果。结果 观察组治疗后的疾病控制率、世界卫生组织生活质量简表(WHOQOL-BREF)评分高于对照组,血清肿瘤标志物水平、视觉模拟评分法(VAS)评分、简明疲劳量表(BFI)评分、不良反应发生率低于对照组(P<0.05)。结论 在胃肠道肿瘤肝转移介入治疗中,洛铂联合5-FU方案在提高患者疾病控制率,降低血清肿瘤标志物水平,改善疼痛和疲劳程度,提升生活质量,减少不良反应发生方面,均优于顺铂联合5-FU方案。

Abstract

Objective To explore the clinical application value of lobaplatin combined with 5-fluorouracil(5-FU) versus cisplatin combined with 5-FU in the interventional treatment of liver metastasis of gastrointestinal tumors. Methods Seventy patients with gastrointestinal tumors accompanied by liver metastasis from January 2024 to October 2025 were selected and randomly divided into two groups of 35 each using a random number table method. The control group received 5-FU combined with cisplatin treatment, while the observation group received lobaplatin combined with 5-FU treatment. The therapeutic effects of the two groups were compared. Results The disease control rate and world health organization quality of life short form(WHOQOL-BREF) score of the observation group after treatment were higher than those of the control group, and the levels of serum tumor markers, visual analog scale(VAS) score, brief fatigue inventory(BFI) score, and incidence of adverse reactions were lower than those of the control group(P<0.05). Conclusion In the interventional treatment of gastrointestinal tumor liver metastasis, the lobaplatin combined with 5-FU regimen can improve the disease control rate of patients, reduce the levels of serum tumor markers, alleviate pain and fatigue, enhance quality of life, and reduce the occurrence of adverse reactions, which was superior to the cisplatin combined with 5-FU regimen.

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[1]余鹏.洛铂与顺铂联合氟尿嘧啶介入治疗胃肠道肿瘤肝转移的价值[J].疾病预防与控制,2026,2(05):141-144.