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用改良的Seldinger's插管技术对46例经病理证实的晚期妇科恶性肿瘤进行了选择性盆腔动脉插管栓塞及化疗治疗。其中7例为手术前患者,因癌块大、粘连严重,故先行插管治疗。术中证实癌块明显缩小、盆腔粘连带软化。8例为术后复发患者经插管化疗或栓塞治疗后,复发癌块直径缩小50%以上者占75%,31例为术后患者,行动脉插管化疗巩固疗效。毒副作用较静脉化疗轻。提出本方法不仅可为晚期难以施实手术的妇科恶性肿瘤患者争取手术机会,也可作为术后巩固疗效的有效手段。
Forty-six patients with pathologically confirmed advanced gynecological malignant tumors underwent selective pelvic artery embolization and chemotherapy with modified Seldinger’s cannulation technique. Of which 7 cases before surgery, due to large cancer, adhesions serious, it is the first intubation treatment. Intraoperative evidence of significant reduction of cancer, pelvic adhesions soften. Eight patients with postoperative recurrence after intubation chemotherapy or embolization treatment, the recurrence of cancer block diameter reduction of 50% or more accounted for 75%, 31 patients were postoperative patients, arterial intubation chemotherapy consolidation effect. Side effects than intravenous chemotherapy light. It is suggested that this method can not only win the chance of operation for patients with gynecologic malignant tumors who are difficult to operate in the late stage, but also be an effective means to consolidate the curative effect after operation.