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目的： 通过１６ 例骨盆转移瘤３１ 人次的髂内、外动脉和／ 或股动脉灌注化疗和栓塞治疗，探讨血管内介入治疗对骨盆转移的治疗效果。材料与方法： 一侧股动脉穿刺插管，髂内、外动脉和／ 或股动脉造影，明确骨盆转移存在及其供血源后，先行动脉内灌注化疗，继以真丝微粒和／ 或明胶海绵碎屑行供血动脉栓塞。栓后即造影观察栓塞程度。治疗后临床上密切观察症状改变，２ ～３ 个月后造影复查，再行动脉内化疗，必要时再行栓塞。结果： 本组１６ 例共行３１ 人次治疗。治疗后局部疼痛减轻和体征改善明显。造影复查示大部原转移灶染色变小、变淡或完全消失，无严重并发症。结论： 血管内灌注化疗并栓塞治疗对骨盆转移是一种有效的姑息治疗手段，尤其对于放疗后不能控制转移或再发转移具有十分重要的治疗价值。
Objective: To investigate the effect of intravascular interventional therapy on pelvic metastasis in 31 cases of pelvic metastatic tumors by intracavitary internal and external arterial and/or femoral arterial infusion chemotherapy and embolization. Materials and Methods: One side of femoral artery puncture cannulation, internal iliac and external arteries, and/or femoral artery angiography. After the presence of pelvic metastasis and its source of blood supply, intra-arterial infusion chemotherapy followed by silk particles and/or gelatin sponge was used. Filament feeding artery embolism. After embolization, the degree of embolization was observed. After treatment, the symptoms were closely observed clinically. After 2 to 3 months, the angiography was repeated. Intra-arterial chemotherapy was performed again. If necessary, embolization was performed. Results: A total of 31 patients were treated in this group. After treatment, local pain relief and signs improved significantly. The angiographic review showed that most of the original metastatic lesions became smaller, lighter, or completely disappeared without serious complications. Conclusion: Intravascular infusion chemotherapy and embolization is an effective palliative treatment for pelvic metastasis, especially for the treatment of metastasis or recurrent metastasis after radiotherapy.