早已公认肾上腺切除术能改善晚期乳癌患者的症状,但手术伴有一定的危险性。作者采用经静脉“切除”肾上腺的方法治疗了47例。平均年龄为56.3岁(32～79岁)。接Columbia的分类,乳癌均属D级病例。23例已完成化疗,20例同时接受化疗,7例接受放疗,2例接受激素治疗。方法:操作前一天晚上起禁食,经右股静脉插管直达右肾上腺静脉与下腔静脉交界处,注入0.5ml造影剂(双醋碘苯酸钠或泛影葡胺)。进一步推进导管,使呈测楔压的位置,同时注入80单位ACTH和100mg It has long been recognized that adrenalectomy can improve the symptoms of patients with advanced breast cancer, but surgery is associated with certain risks. The authors treated 47 patients by intravenously “removing” the adrenal glands. The average age is 56.3 years (32-79 years old). Following Columbia’s classification, breast cancer is a D-class case. Twenty-three patients had completed chemotherapy, 20 received chemotherapy at the same time, 7 received radiotherapy, and 2 received hormone therapy. METHODS: Fasting the night before the operation, the right femoral vein was cannulated directly to the junction of the right adrenal vein and the inferior vena cava, and 0.5 ml contrast agent (diacetic acid sodium iodide or diatrizoate meglumine) was injected. Further advance the catheter so that the position of the wedge pressure is measured and simultaneously inject 80 units of ACTH and 100 mg