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目的 探讨超选择性动脉插管栓塞治疗晚期癌大出血患者和动脉灌注化疗治疗晚期妇科肿瘤。方法 选择子宫动脉插管治疗临床5例晚期癌大出血患者;子宫动脉插管化疗治疗27例妇科晚期肿瘤患者,并为30例患者行单纯静脉化疗做对 照。结果 5例大出血患者栓塞止血成功率100%;治疗组与对照组三年生存率有显著差异,分别为77.7%和43.3%,P<0.05。结论 超选择性动脉插管化疗为晚期妇科肿瘤的治疗提供了新的治疗手段;对晚期癌大出血患者,本方法是行之有效的。
Objective To investigate the treatment of late-stage gynecologic cancer by superselective arterial cannulation and embolization in the treatment of patients with advanced cancer and hemorrhage by arterial infusion chemotherapy. Methods Uterine arterial cannulation was used to treat 5 cases of advanced clinical hemorrhage. Uterine arterial cannulation chemotherapy was used to treat 27 patients with advanced gynecologic cancer. Thirty patients received simple intravenous chemotherapy. Results The success rate of embolization and hemostasis was 100% in 5 cases of hemorrhage. The three-year survival rates of treatment group and control group were significantly different (77.7% and 43.3%, P <0.05). Conclusion Superselective arterial intubation chemotherapy for the treatment of advanced gynecologic cancer provides a new treatment; for patients with advanced cancer bleeding, the method is effective.