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反复暂时性肝动脉阻断作为晚期肝癌的序贯治疗──附25例报告 被引量:2

Repeated temporary blockade of the hepatic artery as a sequential therapy for advanced hepatoma:a report of 25 cases
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摘要 本文报告反复暂时性肝动脉阻断结合腹腔或肝动脉内化疗治疗25例晚期不可切除肝恶性肿瘤的结果。25例中10例用肝动脉间歇阻断加腹腔5─氟尿嘧啶化疗,5例加经肝动脉导管灌注5─氟尿嘧啶化疗,10例加经肝动脉大剂量顺铂“双路”化疗。治疗后5例肿瘤明显缩小,肿瘤直径小于原50%。5例中3例为大剂量顺铂“双路”治疗,其中1例成功施行肿瘤序贯切除。全组治疗后平均存活时间为11.3个月,最长存活56个月,2例迄今仍存活。 Twenty five patients with unresectable liver cancer were treated by the method of repeated temporary blockade of the hepatic artery (RTBHA) with intrap eritoneal or intra -arterial chemotherapy.RTBHA with intraperitoneal 5-fluorouracil (5-Fu) infusion was carried out in 10 patients, intra-arterial infusion of 5-Fu in 5,and intra-arterial infusion of 'two-rout' high dose cisplatin (CDDP) in 10. Five of the 25 patients exhibited a marked tumor regression,the diameter of the tumor was 50% less than before, after the therapy.Three of the them were in high dose CDDP group in which one patient underwent a sequential tumor resection successfully.The mean survial of the patients was 11.3 months and two patients are still alive.The longest survival was 56 months.
出处 《肝胆外科杂志》 1995年第3期150-153,共4页 Journal of Hepatobiliary Surgery
关键词 晚期肝癌 肿瘤序贯切除 肝癌 切除术 Advanced hepatoma Sequential tumor resection
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