内引流术加动脉区域灌注化疗治疗晚期胰腺癌应用  

THE STUDY OF INTERNAL DRAINAGE AND COMBINED WITH REGIONAL ARTERIAL CHEMOTHERAPY ADVANCED PANCREATIC CARCINOMA

作　　者：向国安[1] 耿智敏[2] 张智勇[1] 胡海田[1] 秦兆寅[3] 郑克让[1] 孙水平[1] 董明 

机构地区：[1]陕西省人民医院肝胆外科 [2]西安交通大学第一临床医学院710061 [3]西安交通大学第二临床医学院 [4]广州绿十字公司西安办事处

出　　处：《肝胆外科杂志》2001年第3期166-167,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨晚期胰腺癌的姑息治疗方法。方法　对 2 6例晚期不能切除的胰腺癌行胆总管—十二指肠T形管内引流术治疗 ,结扎胰十二指肠上动脉近心端 ,远心端插入化疗泵 ,术中、术后行动脉灌注化疗。结果　 2 6例患者术在术后退黄 ;减轻患者症状 ,提高生存质量 ,延长生存时间等方面有显著疗效 ,其中 1例生存 18个月。结论　内引流术加动脉区域灌注化疗是治疗晚期不能切除胰腺癌的一个较好方法。Objective Discussing the palliative treatment method to advanced pancreatic carcinoma.Methods we used internal drainage of T shape tube through bilary tract and duodenam,and ligated the upper pancreatico-duodenum artery,inserted the chemotherapy pump in distal pancreatico duodennum artery,and used regional chemotherapy through the pump to treat 26 patients with advanced pancreatic carcinoma.Results This method had obviosly effect on leading jaundice disappeared,alleviating the symptom,improving live quality,improving the survival,one patient was alive 18 moths.Conclusion It is a better method of internal drainage combined regional chemotherypy through artery to treat advanced unresectable pancreatic carcinoma.

关 键 词：胰腺癌 内引流术 缺血 区域性化疗 治疗 

分 类 号：R735.905[医药卫生—肿瘤]