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目的:研究术前应用超选择髂内动脉插管化疗对晚期妇癌的治疗作用。方法:采用Seldinger插管方法和数字减影血管造影(DSA)术,对晚期妇癌11例行14例次超选择髂内动脉插管化疗,并进行手术等后继治疗及随访观察。结果:11例中10例出现局部客观反应,CR2例,PR4例,ImPR2例,ST2例;后继手术等治疗存活0.5～1a 2例,1～3a2例,3～5a 1例,5a以上1例。1a内死亡4例,存活3a死亡1例。结论:单次大剂量顺铂超选择髂内动脉插管化疗,可使肿瘤缩小、松动,为手术等治疗创造条件,是治疗晚期妇癌一种新的有效辅助疗法。
Objective: To study the effect of preoperative application of superselective internal iliac artery cannulation chemotherapy on advanced cancer. Methods: Seldinger cannulation and digital subtraction angiography (DSA) were used to treat 14 cases of advanced cancer with sub-selective internal iliac artery cannulation and chemotherapy. Eleven follow-up and follow-up were performed. Results: There were 10 cases of partial objective reaction in CR1, CR2, PR4, ImPR2, and ST2. Survival of follow-up was 0.5 ~ 1a in 2 cases, 1 ~ 3a2 cases, 3 ~ 5a in 1 case, . In 1a, 4 died and 1 died in 3a. Conclusion: A single high-dose cisplatin over-selected intratracheal intratracheal intratracheal intubation chemotherapy can shrink the tumor, loosening, create conditions for surgery and other treatment, is a new and effective adjuvant therapy for advanced cancer.