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目的探讨Yash iro导管在骨盆肿瘤化疗栓塞中的临床应用价值。方法对23例骨盆肿瘤患者中11例Cobra导管不能完成同侧髂内动脉和骶正中动脉插管的患者采用Yash iro导管进行超选择插管,找出肿瘤的所有供血动脉,然后根据血供进行超选择性灌注化疗,并用明胶海绵随机对其中11例患者进行所有肿瘤供血动脉的选择性栓塞;对其中12例患者除进行肿瘤供血动脉的选择性栓塞外,还对双侧髂内动脉主干进行栓塞,栓塞后24~48 h由同一组医生切除肿瘤。结果Yash iro导管能明显缩短同侧髂内动脉和骶正中动脉的插管时间,所有病例均成功地完成靶血管的超选择插管;手术中易剥离,出血少,术野清楚,缩短了手术时间;术后随访6~18个月,未见肿瘤复发和转移。结论Yash iro导管能提高骨盆肿瘤介入治疗的效率,利于肿瘤彻底切除,减少肿瘤复发或转移,是一种安全有效的术前辅助性治疗方法。
Objective To investigate the clinical value of Yash iro catheter in the treatment of pelvic tumor chemoembolization. Methods Yose iro catheter was used for superselective intubation in 11 patients with pelvic tumor who failed to complete cannulation of ipsilateral iliac artery and sacral middle artery in 11 Cobra catheters. All blood supply arteries of the tumor were found out, and then blood supply was performed Superselective infusion of chemotherapy, and gelatin sponge in which 11 patients were selective embolization of all the tumor feeding artery; of which 12 patients in addition to the selective embolization of the tumor feeding artery, but also on both sides of the internal iliac artery trunk Embolization, embolization after 24 ~ 48 h by the same group of doctors to remove the tumor. Results Yash iro catheter significantly shortened ipsilateral internal iliac artery and sacral artery intubation time, all cases were successfully completed target vessel superselective intubation; surgery easy to peel, less bleeding, clear operative field, shortening the operation Time; follow-up 6 to 18 months after surgery, no tumor recurrence and metastasis. Conclusion Yash iro catheter can improve the efficiency of interventional treatment of pelvic tumor, which is conducive to complete resection of tumor and reduce tumor recurrence or metastasis. It is a safe and effective preoperative adjuvant therapy.