恩度联合经导管动脉化疗栓塞(TACE)与单独TACE治疗肝细胞癌的系统评价和meta分析

Ya-Qing Zhang, Fei Zhao, Lei Song, Hong-Yun Gan, Xiao-Feng Xie
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引用次数: 2

摘要

许多研究调查了恩度联合经导管动脉化疗栓塞(TACE)与单独TACE治疗肝细胞癌(HCC)的疗效。系统评价恩度的疗效。检索PubMed、Embase等数据库,使用RevMan 5.3软件进行meta分析。9项研究均为临床随机对照试验,涉及411名受试者。恩度联合TACE治疗HCC患者的总有效率、疾病控制率、α-胎蛋白阴性转化率及6、12个月生存率均高于单独TACE治疗组(P < 0.01)。此外,恩度治疗后肿瘤进展发生率较低(P = 0.005)。不良反应(白细胞减少、肝功能损害和呕吐)发生率与恩度联合TACE组和单独TACE组相似(P > 0.05)。然而,需要大量的研究和更多的随机试验来确定恩度对HCC的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Systematic Review and Meta-analysis of Endostar Combined With Transcatheter Arterial Chemoembolization (TACE) Versus TACE Alone for Hepatocellular Carcinoma.

Systematic Review and Meta-analysis of Endostar Combined With Transcatheter Arterial Chemoembolization (TACE) Versus TACE Alone for Hepatocellular Carcinoma.

Systematic Review and Meta-analysis of Endostar Combined With Transcatheter Arterial Chemoembolization (TACE) Versus TACE Alone for Hepatocellular Carcinoma.

Systematic Review and Meta-analysis of Endostar Combined With Transcatheter Arterial Chemoembolization (TACE) Versus TACE Alone for Hepatocellular Carcinoma.

Many studies have investigated the efficacy of Endostar combined with transcatheter arterial chemoembolization (TACE) versus TACE alone for hepatocellular carcinoma (HCC). A systematic review was conducted to evaluate the efficacy of Endostar. PubMed, Embase, and other databases were searched, and meta-analysis was performed using RevMan 5.3 software. Nine studies, all of which were clinical randomized controlled trials, involving 411 participants were included. The overall response rate, disease control rate and α-fetoprotein negative conversion ratio, and the 6- and 12-month survival rate of HCC patients treated with combined Endostar and TACE were higher than those treated with TACE alone ( P < .01). Furthermore, the incidence of tumor progression was low after Endostar treatment ( P = .005). The incidence of adverse effects (leukocytopenia, liver function damage, and vomiting) was similar in Endostar with TACE and in TACE alone ( P > .05). However, large studies and more randomized trials are necessary to determine the effects of Endostar on HCC.

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来源期刊
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审稿时长
15 weeks
期刊介绍: The Journal of Evidence-Based Integrative Medicine ((JEBIM)), published previously as the Journal of Evidence-Based Complementary and Alternative Medicine (JEBCAM) and also as Complementary Health Practice Review (CHPR). The Journal of Evidence-Based Integrative Medicine (JEBIM) is an interdisciplinary, peer-reviewed, open access, biomedical journal whose aim is to create a global platform for hypothesis-driven and evidence-based research in all fields of integrative medicine. The journal’s objective is to publish papers which impart scientific validity to Integrative Medicine methods that are indispensable and inevitable in today’s world. All papers will be peer reviewed by experts in their respective fields, and papers will be accepted based on their scientific merit. It is the goal of the Journal to help remove the “myth” and provide scientific rationale for the various methodologies and theories of Integrative Medicine. All submissions will be reviewed based on their scientific merit and only papers with sound study design, valid statistical analyses and logical conclusions will be accepted. Topics include, but are not limited to: Traditional Eastern and Western medicine Nutrition therapy and supplementation Massage Therapy Non-traditional treatments Preventative medicine Integrative health and medicine Mindfulness Yoga.
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