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作者报告40例复发性胶质瘤用动脉内顺铂化疗的经验.其中5例因首次治疗后未作CT,因此只35例可作评价.男20例,女15例,年龄25～69岁,平均40.3岁.20例(57%)为多形性胶母细胞瘤,14例(40%)间变性星形细胞瘤,1例(3%)星形细胞瘤.均曾作过外照射,且不少还作了全身化疗.动脉内顺铂化疗前均作了一系列基础检查.特别用CT(平扫与增强)明确了肿瘤部位、血管供给(来自同侧颈内动脉).化疗后按月评定疗效,包括在CT像上测得肿瘤二个最大垂直径并与化疗前作比较.每次顺铂输入前均作有关血尿检查.当红血球压积
The authors report 40 cases of recurrent glioma with intra-arterial cisplatin chemotherapy experience.Of 5 cases because no CT for the first time after treatment, so only 35 cases can be evaluated.Male 20, 15 women, aged 25 to 69 years (Average 40.3 years old), 20 cases (57%) were glioblastoma multiforme, 14 (40%) astrocytomas, and 1 (3%) astrocytomas, , And many also made systemic chemotherapy.And before intra-arterial cisplatin chemotherapy were made a series of basic examination.Especially with CT (plain scan and enhanced) to clear the tumor site, vascular supply (from the ipsilateral carotid artery.) Chemotherapy The curative effect was assessed on a monthly basis, including the two maximal vertical diameters of the tumor measured on the CT images and compared with those before chemotherapy. Each hematological examination was performed before the cisplatin input. When the hematocrit