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本文对32例中晚期及复发宫颈癌患者施行经皮一侧股动脉穿刺,在X线透视监视下将导管插入双髂内动脉,灌注以顺铂(DDP)为主化疗药物共57例次,例均18次,并行子宫动脉栓塞12例次(超液态碘油栓塞8例次,明胶海绵细条栓塞4例次)。间隔3~4周一次,间隙期配合放疗。随访6~24个月,近期疗效CR50%(16/32)、PR344%(11/32),总有效率844%,抗肿瘤效果肯定。此法毒性反应低,并发症可以防治,是提高晚期妇科肿瘤生存率的有效途径。本文还对该途径的合理性、操作注意事项进行探讨。
In this paper, 32 cases of patients with advanced and recurrent cervical cancer were percutaneous puncture of the femoral artery, under fluoroscopy X-ray catheter into the internal iliac artery, perfusion of cisplatin (DDP) -based chemotherapy drugs a total of 57 cases, Cases were 1 8 times, parallel uterine artery embolization in 12 cases (ultra-liquid lipiodol embolization in 8 cases, gelatin sponge strip embolization in 4 cases). Interval of 3 to 4 weeks, the gap with radiotherapy. The follow-up of 6 to 24 months, the short-term efficacy of CR50% (16/32), PR34 4% (11/32), the total efficiency of 84 4%, the anti-tumor effect is sure. This method low toxicity, complications can prevent and cure, is an effective way to improve the survival rate of advanced gynecological cancer. This article also discusses the rationality of this way, operation precautions.