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采用改良的Seldinger插管技术对66例经病理证实的晚期妇科恶性肿瘤患者进行选择性盆腔动脉插管栓塞化疗。其中9例为手术前患者,因盆腔肿瘤粘连严重先行插管治疗,术中证实癌块明显缩小、盆腔粘连软化,且癌肿表面覆有0.1~0.7cm厚灰白色坏死组织;8例为术后复发患者,经插管化疗后。复发癌块直径多缩小一半以上,症状明显减轻;余49例为已手术者,辅以插管化疗巩固疗效。化疗反应轻。无明显毒副作用。
Sixty-six patients with pathologically confirmed advanced gynecologic malignancy underwent selective pelvic arterial chemoembolization with a modified Seldinger cannulation technique. Among them, 9 cases were preoperative patients. Due to severe preemptive intubation of pelvic tumor, the tumor mass was significantly reduced and the pelvic adhesions softened. The surface of cancer was covered with gray necrotic tissue with thickness of 0.1-0.7 cm. Eight cases Postoperative recurrence of patients, after intubation and chemotherapy. Recurrence of cancer more than half the diameter of more than reduced, the symptoms were significantly reduced; more than 49 cases had surgery, supplemented by intubation and chemotherapy to consolidate the effect. Chemotherapy reaction light. No obvious side effects.