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中晚期子宫颈癌的介入治疗
Interventional Treatment of The Stage Ⅱ_b - Ⅳ Cervical Carcinoma
【摘要】 目的:研究介入治疗中晚期子宫颈癌的临床价值。方法:运用Seldinger穿刺技术对38例中晚期子宫颈癌患者经过股动脉逆行穿刺置管,分别选择左右髂内动脉进行化疗药物灌注;选择两侧的子宫动脉或髂内动脉支运用抗癌药浸泡的明胶海绵粒进行栓塞;栓塞术后造影了解动脉闭塞情况;观察患者的近期和远期疗效。结果:38例患者进行了髂内动脉及其分支血管化疗灌注和栓塞术,栓塞术后造影见肿瘤血管闭塞;近期和远期治疗效果较好。结论:介入化疗栓塞中晚期子宫颈癌能够提高患者疗效和生存质量,能为肿瘤根治性切除创造条件。
【Abstract】 Objective: To study the therapeutic values of the stage ⅡB - Ⅳ cervical carcinoma by the selective artery infusion and embolization in the internal iliac artery and its branches. Methods: 38 cases of the cervical carcinoma were. watched by angiography for the left and right internal iliac artery, through retrograde, through insertion, through femoral artery by using seldinger technique to embolize the branches of this internal iliac artery or the uterine artery, through angiography, through monitor until complete obstruction of this artery. Results: 38 cases were treated through the internal iliac artery, 11 cases were through the uterine artery, 18 cases were embolized unilateral uterine artery and internal iliac artery, 5 cases were embolized bilateral internal iliac artery. Posl-embolizalion angiograhy displayed the tumor vessels were obstructed.Conclusion: Infusion and embolization are safety and effective methods for stage ⅡB - Ⅳ cervical careinom, this methed of treatment may prolong the survival period and improve the life quality and also may provide the chance for operation.
- 【文献出处】 四川肿瘤防治 ,Sichuan Journal of Cancer Control , 编辑部邮箱 ,2003年04期
- 【分类号】R737.33
- 【被引频次】7
- 【下载频次】43