贲门癌的术前介入治疗的方法  

Preoperative Interventional Therapy of Cardiac Malignant Tumors

作　　者：王麟川[1] 李文元[1] 缪万祥[1] 季红珍 张国荣[1] 诸慧铭[1] 邹寿南[1] 汪守中[1] 

机构地区：[1]上海市第一人民医院,200085

出　　处：《介入放射学杂志》1994年第1期27-29,共3页Journal of Interventional Radiology

摘　　要：11例经胃镜检查及术前细胞学检查所证实,中晚期贲门癌的术前介入放射治疗。应用 RH型导管超选择胃左动脉插管,成功率为82%。此法简便易行,便于操作推广。本文介绍了胃左动脉造影方法及中晚期贲门癌的血管造影表现及分类。贲门癌术前介入治疗可使肿瘤病灶较快缩小;减轻肿瘤的浸润粘连;增加肿瘤病灶周围的水肿;有利于肿瘤的手术切除和剥离;同时手术中出血量明显减少;术后能有效地减少复发转移的机会.介入治疗后最佳手术时间,以10天为宜。Eleven eases with intermediate and advanced cardiac malignant tumors were treated preoperatively by interventional therapy.All cases were confirmed by gastric endo- scopic examination and cell biopsy. Authors applied RH tube for supraselective eatherterization with the 82% approximate success.It was a easy and convienent way to carry out. The methed of left gastric artery catherterization,the angiographic findings of the inter- mediate and advanced cardiac malignant tumors together with their subgroups were discussed in detail.Our reseat chs revealed that the preoperative interventional therapy could minimize the size of tumor decrease the filtrating area and increase the peripheral edematous area of the tumor.The success of interventional therapy leads to the relative easiness of tumor resection and reduces the possibility of hemorrhage,recurrence and metastasis.Authors found that the suitable time for operation was ten days after interventional therapy.

关 键 词：贲门肿瘤 介入疗法 血管造影 

分 类 号：R730.55[医药卫生—肿瘤] R735.205[医药卫生—临床医学]