论文部分内容阅读
近年,对肝细胞癌的治疗(动脉栓塞、经皮动脉化疗等)已取得很大进展,但对转移性肝癌仍然没有有效的治疗方法,预后较差。本文报告用贮药器经肝动脉间歇释放药物,化疗72例肝恶性肿癌的疗效。对象与方法:肝脏各种恶性肿癌340例,其中肝细胞癌77例,胆管细胞癌13例,胃癌肝转移130例,结肠癌肝转移100例,其他20例。对72例(肝细胞癌13例,胆管细胞癌6例,肝转移性胃癌27例,肝转移性结肠癌18例,其他8例)行贮药器肝动脉间歇释放药物化疗。方法为54例经左锁骨下动脉,18例经胃十二指肠动将导管插入肝动脉,外接贮药器并埋入皮下。化疗
In recent years, great progress has been made in the treatment of hepatocellular carcinoma (arterial embolization, percutaneous arterial chemotherapy, etc.), but there is still no effective treatment for metastatic liver cancer and the prognosis is poor. This article reports the intermittent release of drugs through the hepatic artery using a drug reservoir and the efficacy of chemotherapy for 72 cases of malignant tumors of the liver. Subjects and methods: There were 340 cases of various malignant tumors in the liver, including 77 cases of hepatocellular carcinoma, 13 cases of cholangiocarcinoma, 130 cases of gastric cancer liver metastases, 100 cases of colon cancer liver metastases, and 20 cases of other liver cancers. Seventy-two patients (13 with hepatocellular carcinoma, 6 with cholangiocellular carcinoma, 27 with hepatic metastatic gastric cancer, 18 with metastatic colorectal cancer, and 8 other) underwent intermittent chemotherapy with hepatic artery. Methods: Forty-four patients were treated with a left subclavian artery, and 18 patients were inserted into the hepatic artery via gastric and duodenal movements. An external reservoir was placed and buried subcutaneously. Chemotherapy