动脉介入治疗在宫颈癌术前的应用价值(1)
【摘要】目的：评价动脉介入治疗在宫颈癌术前的应用价值。方法：对25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。【关键词】宫颈癌；动脉灌注；化疗；栓塞
The value of intra-arterial interventional therapy in the preoperation of cervical carcinoma
WU Shuxin WEI Jianqing
【Abstract】 Objective:To investigate the application value of intra-arterial interventional therapyin the preoperation of cervical carcinoma. Methods: 1~2 times selective intra-arterial infusionchemotherapy and embolization were performed in 25 patients with Ⅰb~ Ⅲb 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 cases below Ⅱb stage. Conclusion: Preoperative interventional chemoembolization can enhance therate 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. ......
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