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目的 探讨大肠癌同时性肝转移癌不能切除 ,术中同时应用植入式药泵化疗栓塞的作用。方法 在切除原发病灶的同时对不能切除的肝转移癌在术中同时置入肝动脉植入式药泵并给予化疗栓塞。使用药物FUDR +DDP +EADM +碘化油 ,观察存活率。结果 5年存活率 8%、3年存活率 5 6 %、2年存活率 2 4%、1年存活率 12 %。结论 对于大肠癌同时性肝转移癌不能切除者采用植入式药泵化疗栓塞 ,具有明显提高存活率。使用植入式药泵操作简单、疗效显著、并发症少 ,具有较高的应用价值
Objective To investigate the role of simultaneous hepatic metastases in colorectal cancer and the use of implantable drug pump chemoembolization. Methods Hepatic arterial implantable drug pump and chemoembolization were performed simultaneously in the unresectable hepatic metastasis at the time of primary tumor resection. The drug FUDR + DDP + EADM + iodized oil was used to observe the survival rate. Results The 5-year survival rate was 8%, the 3-year survival rate was 6%, the 2-year survival rate was 24%, and the 1-year survival rate was 12%. Conclusions For patients with colorectal cancer without liver metastasis, implantable drug pump chemoembolization can significantly improve the survival rate. The use of implantable drug pump is simple, significant effect, less complications, has a higher application value