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目的：探讨多途径动脉灌注化疗及栓塞治疗对已有远处脏器转移的妇科恶性肿瘤的效果。方法：对有肝、肺脏转移的晚期恶性肿瘤２９例进行了选择性盆腔动脉、肝动脉和肺动脉插管造影，继行化疗及栓塞治疗。结果：经治疗１５～３０ｄ后，２１例（７２．４％）病灶直径缩小５０％以上，５例（１７．２％）病灶直径缩小不足５０％，３例（１０．４％）治疗效果不明显。结论：多途径动脉灌注造影，行药物及栓塞治疗对有远处脏器转移的晚期恶性肿瘤有一定疗效，不仅有较强的局部作用，而且副作用较轻。但本组例数较少，随诊时间短，有关问题有待进一步研究。
Objective: To investigate the effect of multi-channel arterial infusion chemotherapy and embolization on gynecologic malignancies that have metastasized to distant organs. Methods: 29 cases of advanced malignant tumor with liver and lung metastasis underwent selective pelvic artery, hepatic artery and pulmonary artery catheterization, followed by chemotherapy and embolization. RESULTS: After 15 to 30 days of treatment, the diameter of lesions in 21 cases (72.4%) was reduced by more than 50%, and the diameter of lesion in 5 cases (17.2%) was reduced by less than 50%. The treatment effect in 3 cases (10.4% obvious. Conclusion: Multi-channel arterial perfusion angiography, drug and embolization have some effect on advanced malignant tumor with distant organs metastasis, which not only has strong local effect but also has less side effects. However, fewer cases in this group, follow-up time is short, the issues to be further studied.