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目的：研究国产导管药盒系统（PCS）经皮左锁骨下动脉植入术治疗晚期恶性实质性肿瘤的操作方法、安全性及临床应用价值。材料与方法：对60例胸、腹部及盆腔恶性肿瘤患者，经皮左锁骨下动脉穿刺行国产PCS植入术。术后经PCS行规律性化疗或碘油乳化剂栓塞。结果：所有病入PCS植入术全部成功，导管留置于降主动脉18例，肝固有动脉20例，肝总动脉12例，腹腔动脉6例，左右骼内动脉各2例。并发症有穿刺局部血肿6例（10％），切口延迟愈合4例（6．7％）。所有并发症经处理均痊愈，无严重后遗症。结论：经皮锁骨下动脉植入国产PCS操作方便，并发症少而轻，是动脉内化疗和碘油乳剂栓塞的一条安全可靠途径；国产药盒价格低廉，质量可靠，适合国情。
OBJECTIVE: To study the operation method, safety, and clinical application value of percutaneous left subclavian artery implantation in the treatment of advanced malignant solid tumors with the domestic catheterization kit (PCS). Materials and Methods: 60 patients with thoracic, abdominal and pelvic malignancies underwent percutaneous subclavian artery puncture for domestic PCS implantation. After surgery, regular chemotherapy with PCS or lipiodol emulsifier embolization. Results: All cases of PCS implantation were successful. The catheters were placed in the descending aorta in 18 cases, the hepatic proper artery in 20 cases, the common hepatic artery in 12 cases, the celiac artery in 6 cases, and the left and right iliac arteries in 2 cases. Complications included puncture local hematoma in 6 cases (10%) and incision delayed healing in 4 cases (6.7%). All complications were healed without severe sequelae. Conclusion: The operation of percutaneous subclavian artery implantation with homemade PCS is easy to operate and has few complications. It is a safe and reliable way for intra-arterial chemotherapy and lipiodol emulsion embolization. Domestic kits are inexpensive, reliable, and suitable for national conditions.