选择性动脉化疗及栓塞在宫颈癌术前的临床研究  

作　　者：韦干飞[1] 吴书信[1] 

机构地区：[1]广西河池市人民医院,547000

出　　处：《当代医学》2009年第12期53-54,共2页Contemporary Medicine

摘　　要：目的评价动脉灌注化疗及栓塞在宫颈癌术前的应用价值。方法对30例Ⅰb～Ⅲb期宫颈癌患者术前分别行1～2次选择性动脉灌注化疗及栓塞,并分析其临床资料。结果全部病灶获得手术切除。介入治疗后至术前宫颈直径缩小约0.8～1.3cm,且质地变软,术中宫旁组织易剥离,出血少。术后病理Ⅱb期以下病例各断端均未见癌细胞。结论术前介入化疗栓塞明显提高中晚期宫颈癌患者的手术切除率,还有助于杀灭肿瘤周围微小转移灶,可作为宫颈癌综合治疗的一种有效方法。Objective To investigate the application value of intra-arterial infusion chemotherapy and embolization in the preoperation of cervical carcinoma. Methods 1-2 times selective intra-arterial infusion chemotherapy and embolization were performed in 30 patients with Ⅰb-Ⅲh cervical carcinoma before operation,and the clinical data were analyzed. Results All lesions underwent surgical resection.The diameter of cervix reduced about 0.8cm-1.3cm after interventional therapy and before operation,and the texture was softening,the organizations easy peeling and less bleeding during the operation.Postoperative pathology showed that cancer cells were not found in the stump of eases below II b stage. Conclusion Preoperative interventional chemoembolization can enhance the rate of surgical resection significantly in the patients with advanced cervical carcinoma,and also help to kill micrometastasis around the tumor, So it can be used as an effective method for the combined therapy of cervical carcinoma.

关 键 词：宫颈癌 动脉灌注 化疗 栓塞 

分 类 号：R737.33[医药卫生—肿瘤]