论文部分内容阅读
为探讨晚期广泛转移、已不能切除的胃癌的区域性化疗的途径、方法和疗效。作者采用术中经胃网膜右动脉逆行插管 ,胃网膜右静脉插管至门静脉行腹腔置管 ,术中及术后经预插三路导管灌注化疗。结果 6例已有腹腔淋巴结、腹膜及肝脏广泛转移 ,不能切除的晚期胃癌行三路插管 ,完成化疗 2周期 1例 ,3周期 2例 ,4周期 2例 ,6周期 1例 ;生存 6mon、7mon、9mon、13mon、14mon各 1例 ,1例已生存 5 2mon ,现仍健在。作者认为胃网膜右动脉、门静脉及腹腔三路插管化疗针对晚期胃癌转移的多种途径 ,是比较合理的区域性化疗 ,有较好的临床疗效。
To explore the late extensive metastasis, has been unresectable regional gastric cancer chemotherapy approach, method and efficacy. The authors adopted intraoperative retrograde intubation of the right gastric artery, gastric intubation of the right ventricle to the portal vein abdominal catheterization, intraoperative and postoperative insertion of three catheter infusion chemotherapy. Results Six patients had extensive metastasis of abdominal lymph nodes, peritoneum and liver. Three unresectable advanced gastric cancer patients underwent three-way intubation. One patient completed 2 cycles of chemotherapy, 2 of 3 cycles, 2 of 4 cycles and 1 of 6 cycles. 1 case of 7mon, 9mon, 13mon and 14mon, 1 case of surviving 5 2mon, still alive. The author believes that the right gastric artery, portal vein and intraperitoneal intubation three chemotherapy for advanced gastric cancer in a variety of ways, is a more reasonable regional chemotherapy, a better clinical efficacy.