本文报道了选择性动脉灌注化疗治疗晚期食管贲门癌30例。其中食管癌23例,贲门癌7例。选择胃左动脉或相应的纵隔动脉,灌注用药为顺铂、5-Fu、丝裂霉素或阿霉素。结果完全缓解(CR)2例占6.7%,部分缓解(PR)19例占63.3%,稳定(S)8例占26.7%,进展(P)1例占3.3%。对于影响疗效的因素进行了重点讨论。 This article reported selective arterial infusion chemotherapy for advanced esophageal and cardiac cancer in 30 cases. There were 23 cases of esophageal cancer and 7 cases of cardiac cancer. The left gastric artery or the corresponding mediastinal artery was selected and the perfusion medication was cisplatin, 5-Fu, mitomycin or doxorubicin. Results Complete remission (CR) accounted for 6.7% in 2 cases, partial remission (PR) in 19 cases in 63.3%, stable (S) in 8 cases in 26.7%, and progress in (P) in 1 case in 3.3%. The factors that influence the efficacy are discussed in detail.