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作者采用了经皮股动脉插管方法,对23例胃癌作腹腔动脉灌注化疗合并手术治疗。患者术前和/或术后作导管化疗2～3次。单作术前导管化疗2例,单作术后导管化疗2例,术前和术后均作导管化疗19例。经术前导管化疗后,症状缓解者20例,占95.2%。其中腹痛或腹胀缓解者19例,呕吐缓解者6例(6/7),腹部包块缩小或消失者7例(7/8)。经术前导管化疗后,手术切除率为100％;其中姑息性切除6例(28.6％),根治性切除15例(71.4％)。结果提示,该法能改善临床症状,提高手术切除率,为一些较晚期的患者提供了二期手术的机会。
The authors used the method of percutaneous femoral artery catheterization to treat 23 cases of gastric cancer by intraperitoneal arterial infusion chemotherapy combined with surgical treatment. Preoperative and/or postoperative catheterization was performed 2 to 3 times. For single operation, 2 cases were treated with catheterization before operation, 2 cases were treated with catheterization after single operation, and 19 cases were performed catheterization before and after operation. After preoperative catheterization, 20 patients were symptomatic relieved, accounting for 95.2%. Including abdominal pain or bloating in 19 cases, vomiting in 6 cases (6/7), abdominal mass reduced or disappeared in 7 cases (7/8). After preoperative catheterization, the surgical resection rate was 100%; palliative resection was 6 cases (28.6%), and radical resection was 15 cases (71.4%). The results suggest that this method can improve clinical symptoms and improve the rate of surgical resection, providing some of the more advanced patients with the opportunity for secondary surgery.