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目的 为不能切除的胰头癌的姑息治疗寻求有效途径。方法 将156例不能切除病灶的胰头癌,按手术方式分为,A组:单纯探查23例,B组:单纯胆肠和/或胃肠转流48例,C组:单纯探查加区域动脉化疗36例,D组:肠胆和/或胃肠转流加区域动脉化疗49例。对比观察各组患者生存期及症状缓解情况。结果 区域动脉化疗后,多数病人症状好转,少数病人瘤体不同程度缩小。平均生存期延长。结论 区域动脉化疗是不能切除胰头癌的姑息治疗的有效方法。
The purpose of palliative treatment of unresectable pancreatic head cancer to find an effective way. Methods A total of 156 patients with unresectable pancreatic head cancer were divided into two groups according to the operation method: group A: 23 cases were simple exploration; group B: 48 cases were choledochointestinal and / or gastrointestinal transit; group C: 36 cases of chemotherapy, D group: intestinal bile duct and / or gastrointestinal bypass plus regional arterial chemotherapy in 49 cases. The survival of patients in each group and symptom relief were observed. Results Regional arterial chemotherapy, the majority of patients improved symptoms, a small number of patients with varying degrees of tumor shrinkage. The average survival period is longer. Conclusions Regional arterial chemotherapy is an effective method for palliative treatment of patients with unresectable pancreatic head cancer.