摘要
目的 :探讨子宫颈癌术前行子宫动脉栓塞化疗的方法及疗效。方法 :对 2 1例子宫颈癌 (Ⅰb期 4例 ,Ⅱa期 7例 ,Ⅱb期10例 )行超选择性子宫动脉栓塞化疗 ,观察其疗效和毒副反应。介入性化疗后 2周行子宫根治术及盆腔淋巴结清扫术。结果 :2 1例患者症状均明显缓解 ,近期有效率达 95 .2 % ,手术成功率达 10 0 %。 2 0例各组淋巴结及切缘无癌 ,1例左髂内淋巴结转移 ,补充放疗。 1例子宫颈小细胞癌术后全身化疗 3个疗程。随访 2 1例均健在 ,生存时间 1～ 18个月。结论 :子宫颈癌术前超选择性子宫动脉栓塞化疗 ,有助于提高手术治愈率 。
Objective:To study the method and curative effect of transcatheter uterine artery chemoembolization before surgical treatment of cervical carcinoma.Methods:Twenty one cases of cervical carcinoma were treated by super selective uterine artery chemoembolization.Four cases were in stage Ⅰb ,7 in stage Ⅱa ,10 in stage Ⅱb ,and the curative effect,toxic and side effects were observed.Radical hysterectomy and lymph adenectomy were performed two weeks after interventional treatment.Results:The symptoms of the 21 cases were relieved apparently.The short term effective rate was 95.2%.The successful rate of operation was 100%.No cancer cells were found in the lymph node of each group or in the stump in 20 cases.One case with internal iliac lymph node metastasis was supplemented with radiotherapy.One case with small cell carcinoma received systemic chemotherapy for 3 courses after operation.Twenty one cases were followed up,all patients survived for 1 to 18 months.Conclusions:Transcatheter super selective uterine artery chemoembolization before surgery in treatment of cervical carcinoma can enhance the cure rate and reduce relapse and metastasis.
出处
《蚌埠医学院学报》
CAS
2002年第4期305-307,共3页
Journal of Bengbu Medical College
