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目的:研究介入治疗在妇科恶性肿瘤中的临床应用价值,并对其并发症进行探讨。方法:对37例经病理证实的妇科恶性肿瘤共作了78次介入治疗,每人1～3次。全部病例均采用Seldinger穿刺术,经一侧股动脉插管(一般为右侧股动脉),行一侧或两侧盆腔动脉内灌注化疗药物和(或)栓塞的方法。结果:所有病例DSA造影均表现为相应区域内的肿瘤染色和供血血管增粗。8例获得了根治性手术切除,术中出血明显减少,总有效率达82%。本组病例介入治疗后有1例(占2.7%)出现了臀部、外阴部皮肤组织缺血坏死较为严重的并发症。结论:介入治疗中晚期妇科恶性肿瘤是一种安全而有效的姑息性疗法。
Objective: To study the clinical value of interventional treatment in gynecologic malignancies and to discuss its complications. Methods: A total of 78 cases of gynecologic malignancies confirmed by pathology were treated 78 times, 1 ~ 3 times per patient. Seldinger puncture was used in all the cases. One side femoral artery cannulation (usually the right femoral artery) was performed. One side or both sides of the pelvic artery were infused with chemotherapeutic drugs and / or embolism. RESULTS: DSA radiography in all cases showed tumor staining and blood vessel thickening in the corresponding area. In 8 cases, a radical surgical resection was achieved, the bleeding during operation was significantly reduced, and the total effective rate was 82%. In this group of patients after interventional treatment in 1 case (2.7%) occurred in the buttocks, vulvar skin tissue necrosis of the more serious complications. Conclusion: Interventional treatment of advanced gynecological malignancies is a safe and effective palliative therapy.