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目的:探讨治疗晚期卵巢癌的方法。采用Seldinger法经一侧股动脉穿刺作超选择动脉插管化疗治疗晚期卵巢癌61例(Ⅲ期54例,Ⅳ期7例)分成二大组观察。结果:61例患者有腹水52例,胸水5例,治疗后腹水明显吸收49例,占94.2%,胸水吸收好转4例,占80%。第一组40例中有33例获得再次手术时机,肿瘤体积比原来缩小1/2以上者30例,占90.9%。粘连松解32例,其中31例获得了手术成功。目前存活24例,存活率达60%。第二组21例中存活3例,存活率为14.3%。二组共存活27例,总存活率为44.3%。超选择动脉插管化疗治疗晚期卵巢癌是有效的。特别对首次手术困难者,先行动脉插管化疗为宜
Objective: To explore the treatment of advanced ovarian cancer. One hundred cases of advanced ovarian cancer (54 cases in stage III and 7 cases in stage IV) were divided into two groups according to the Seldinger method. Results: There were 52 cases of ascites and 5 cases of pleural effusion in 61 cases. After treatment, 49 cases (94.2%) were absorbed ascites, and 4 cases of pleural fluid absorption improved, accounting for 80%. In the first group of 40 cases, 33 cases received the opportunity for reoperation. The tumor volume was reduced by 1/2 or more from the original 30 cases, accounting for 90.9%. Thirty-two cases of adhesions were loosened, of which 31 cases had successful operation. At present, 24 cases survived and the survival rate reached 60%. In the second group of 21 cases, 3 survived and the survival rate was 14.3%. The two groups survived in 27 cases and the overall survival rate was 44.3%. Superselective arterial cannulation chemotherapy is effective for the treatment of advanced ovarian cancer. Especially for patients with first-time difficulty, it is advisable to perform arterial intubation chemotherapy