超选择子宫动脉化疗栓塞治疗宫颈癌的临床应用  

Clinical Application of Superselective Uterine Artery Infusion Chemotherapy and Embolization in Treatment of Cervical Cancer

作　　者：陈华[1] 黄新阶[1] 彭荣[1] 李丹[1] 曹野[1] 陈立岩[1] 

机构地区：[1]湖北省宜昌市第一人民医院介入放射科,湖北宜昌443000

出　　处：《实用放射学杂志》2006年第7期851-853,共3页Journal of Practical Radiology

摘　　要：目的 探讨超选择子宫动脉化疗栓塞治疗宫颈癌的临床价值，并讨论其疗效与操作技术。方法 对33例经病理证实的宫颈癌经双侧髂内动脉做局部灌注化疗，然后采用真丝线段做子宫动脉栓塞治疗，部分病例辅以明胶海绵栓塞髂内动脉。治疗后定期复查。结果 完全缓解（CR）＋部分缓解（PR）为96．9％（32／33），无变化（NC）为3．1％（1／33）。24例化疗栓塞后1-3月手术切除。结论 超选择子宫动脉化疗栓塞治疗宫颈癌疗效好且副反应轻，采用真丝线段作为栓塞剂是安全和有效的。Objective To evaluate the clinical value of superseleetive uterine arterial ehemoembolization therapy for the cervical cancer , and to discuss its therapeutic effect and technique. Methods 3 3 cases of cervical cancer eonfirmed by pathology were treated by ehemointuhation of internal iliae artery and the followed by silk emholization of uterine arterial , some cases by gelfoam emholization of internal iliae artery also . Results CR ＋ PR （ complete remission ＋ partly remission ） was 96.9% （ 32/33 ） , NC （ no change ） was 3.1% （ 1/33 ）. 24 cases （ 24/33 ） were treated by surgery after arterial ehemoembolization 1 - 3 months later. Conclusion Superseleetive uterine arterial ehemoemholization therapy is an effective therapy with low side effects for the treatment of cervical cancer , and silk as emholie material is safe and effective.

关 键 词：宫颈癌 药物疗法 栓塞 治疗性 

分 类 号：R737.33[医药卫生—肿瘤] R815[医药卫生—临床医学]