介入治疗中晚期消化道癌的临床研究  

The clinical study of interventional therapy of advanced and late staged carcinoma of digestive tract

作　　者：刘增荣[1] 任水明[1] 罗秀珍[1] 刘芳[1] 刘俊祥[1] 韩丽萍[1] 

机构地区：[1]内蒙古鄂尔多斯市中心医院介入放射科,017000

出　　处：《影像诊断与介入放射学》2003年第4期231-233,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的 研究和探讨动脉灌注与栓塞治疗中晚期消化道癌的临床疗效与价值。方法 151例中晚期消化道癌(食管癌20例,贲门癌29例,胃癌71例,结肠癌31例)按Seldinger法进行血管造影了解肿瘤血供后,超选择至肿瘤供血动脉进行灌注与栓塞治疗。结果 灌注与栓塞术后病灶均有不同程度的缩小,全部病例临床症状明显改善。其中半年生存率为95％(144/151),1年生存率为86％(130/151),2年生存率为66％(99/151),3年生存率为29％(44/151)。结论 采用动脉灌注化疗与栓塞是治疗中晚期消化道癌的一种有效方法,特别是对已有转移的病例,同时行转移瘤的介入治疗具有重要价值。Objective To evaluate the transarterial chemoembotherapy in the treatment of advanced or late staged digestive tract carcinoma. Methods One hundred fifty-one patients with advanced or late staged digestive tract carcinoma (including 20 cases of esophageal carcinoma, 29 cases of cardia carcinoma, 7.1 cases of gastric carcinoma and 31 cases of large intestinal carcinoma ) underwent super selective transarterial chemoembotherapy. Results Interventions were successful. Symptoms were apparently improved in all cases. Decreased diameter of tumor was seen in all cases. Half-year survival rate was 95% (144/151); one year survival was 86% (130/151); two year survival rate was 66% (99/151); and three year .survival rate was 29% (44/151).Conclusion The transarterial chemoembotherapy is an effective treatmenl of advanced or late staged digestive tract carcinoma. In patients with metastases. the intervention is especially valuable for both primary and metastatic lesions.

关 键 词：介入治疗 中晚期 消化道癌 临床研究 血管造影 经导管动脉灌注化疗 经导管动脉栓塞 

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