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目的 探讨贲门癌术前经胃左动脉药物灌注化疗的价值。方法 收集了 5 6例经胃左动脉插管药物灌注后手术切除的贲门癌病例总结分析。结果 DSA造影贲门癌多数为血管丰富性肿瘤。经胃左动脉灌注后临床症状缓解明显。钡餐检查贲门部肿块缩小 5 0 %者有 32例。术后 1年生存率 98% ,2年生存率 78.6 % ,3年生存率 5 3.6 %。灌注后胃出血是主要并发症 ,占 32 %。结论 贲门癌术前经胃动脉药物灌注化疗是一种行之有效的方法 ,该方法增加了贲门癌手术切除的机率。
Objective To investigate the value of preoperative gastric perfusion chemotherapy of gastric cardia cancer. Methods Fifty-six cases of cardiac cancer resected after percutaneous transluminal gastric arterial cannulation were collected and analyzed. Results DSA angiography cardia cancer mostly vascular rich tumors. After the left gastric artery perfusion clinical symptoms were significantly relieved. Barium meal examination cardia department shrink 50% in 32 cases. The postoperative 1-year survival rate was 98%, the 2-year survival rate was 78.6%, and the 3-year survival rate was 53.6%. Gastric bleeding after perfusion is a major complication, accounting for 32%. Conclusion Cardiac cancer chemotherapy via gastric artery before chemotherapy is an effective method, which increases the probability of surgical resection of cardiac cancer.