宫颈癌术前子宫动脉化疗栓塞26例临床疗效观察  

Clinical Observation About Preoperative Uterus Arterial Chemoembolization of 26 Cases of Cervical Cancer

作　　者：孙蕾[1] 徐军[1] 

机构地区：[1]上海市第八人民医院妇产科,200235

出　　处：《实用癌症杂志》2007年第2期198-200,共3页The Practical Journal of Cancer

摘　　要：目的 探讨26例宫颈癌术前行子宫动脉化疗栓塞的方法 疗效。方法 对26例宫颈癌患者行超选择性子宫动脉化疗栓塞,观察其疗效和毒副反应。化疗栓塞后2-3周行子宫根治术及盆腔淋巴结清扫术。结果 26例患者阴道流血、流液、腰骶部疼痛等症状均明显缓解,化疗栓塞总有效率为92.3%,手术成功率为100.0%,26例各组淋巴结及切缘无癌残留。结论 宫颈癌术前行超选择性子宫动脉化疗栓塞有助于提高手术切除率,减少复发和转移;二次治疗的合适时机为化疗栓塞后2-3周。Objective To study the ways and effects of preoperative uterus arterial chemoembolization in the treatment of patients with cervical carcinoma. Methods 26 patients with cervical carcinoma were treated by hyperselective uterus arterial chemoembolization. Radical hysterectomy and pelvic lymphadenectomy were performed 2-3 weeks after chemotherapy. Results The symptoms such as vagina bloodshed ,flow liquid, waist and sacrum pain were significantly alleviated. The overall effectiveness of arterial chemoembolization is 92.3% , and all patients received surgical treatment. No cancer was found in any group of lymph node and s,rgical margins. Conclusion hyperselective uterus arterial chemoembolization before surgical treatment is useful in the treatment of cervical carcinoma. The optimal time of surgical treatment would be 2 to 3 weeks after chemoembolization.

关 键 词：宫颈癌 子宫动脉 化疗 栓塞 

分 类 号：R737.33[医药卫生—肿瘤]