摘要
用改良的Seldinger's插管技术对46例经病理证实的晚期妇科恶性肿瘤进行了选择性盆腔动脉插管栓塞及化疗治疗。其中7例为手术前患者,因癌块大、粘连严重,故先行插管治疗。术中证实癌块明显缩小、盆腔粘连带软化。8例为术后复发患者经插管化疗或栓塞治疗后,复发癌块直径缩小50%以上者占75%,31例为术后患者,行动脉插管化疗巩固疗效。毒副作用较静脉化疗轻。提出本方法不仅可为晚期难以施实手术的妇科恶性肿瘤患者争取手术机会,也可作为术后巩固疗效的有效手段。
Forty-six patients with
pathologically-proved gynecologic malignanttumors were treated using
the improved technique--the selective infusion of anticance-rous
agents and embolisation by intrapelvicalartery intuvation.Among them,
seven wereadvanced Cancers with severe pelvic cancerous adhesion
chemoembolisation were perfor-med before operation and the tumor
masses had been obvious reduced in size。 Eightpatients with
recurrent tumor mass in pelvical cavity treated with this method also
achi- eved obvious remissions,other thirty-one patients received this
therapy as adjuvanttreament. This study suggests that the method
canbe used preoperatively as a cytoredu-ctive therapy in severe
advanced gynecologic cancers in order to render the inoperablecases
operable, it can also be used as an adjuvant maintenance therapy
postoperatively.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1995年第3期188-190,共3页
Chinese Journal of Cancer