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评价经左锁骨下动脉穿刺导管药盒系统植人术在肝转移瘤治疗中的应用。材料与方法５４例肝转移瘤，其中来源于胃肠道转移的４０例，来源于其它脏器转移１４例。行经皮左锁骨下动脉穿刺导管药盒系统植人术。术后经导管药盒系统每月一次灌注碘油化疗药物乳剂或化疗药物灌注。结果导管药盒系统植人术技术成功率１００％。生存期：６月生存率为７８％，１年生存率为５７％，２年生存率为对．４％，３年生存率为１８％。术后１－３月ＣＴ或Ｂ超复查，肿瘤体积缩小大于５０％者占３３．３％，肿瘤体积缩小小于５０％者占３８％，无变化者占门％，增大者占１１％。手术有关并发症有：少量气胸１例，左锁骨下区皮下血肿１例，靶动脉闭塞１例。２例导管移位者经再次插管调整导管于靶动脉。导管阻塞治疗失败者１例，拔除导管药盒系统。结论经皮导管药盒系统植人术适用于肝转移瘤的长期动脉内灌注化疗和碘化油化疗药物乳剂栓塞治疗，疗效满意，并发症少而轻，值得推广应用。
Evaluation of the application of left subclavian arterial puncture catheter kit system in the treatment of liver metastases. Materials and Methods Fifty-four cases of hepatic metastases, including 40 cases of gastrointestinal metastasis and 14 cases of metastases from other organs were obtained. Percutaneous subclavian arterial puncture catheter kit system implantation. After the catheterization kit system, perfusion of lipiodol chemotherapeutic emulsion or chemotherapeutic drugs was performed once a month. Results The success rate of the catheterization kit in the catheterization system was 100%. Survival: The survival rate in June was 78%, the 1-year survival rate was 57%, and the 2-year survival rate was 2. 4%, 3-year survival rate was 18%. After 3 to 3 months of follow-up, CT or B ultrasound examination showed that tumor size decreased by more than 50% and accounted for 33.3%. Tumor volume decreased by less than 50%, accounting for 38%. Patients with no change accounted for % of the portal, and those with larger tumors accounted for 11%. Surgical complications included a small amount of pneumothorax in 1 case, a subcutaneous hematomas in the left subclavian region, and a target artery occlusion in 1 case. Two patients with displaced catheters were recannulated to adjust the catheter to the target artery. Catheter occlusion treatment failed in 1 case and the catheterization kit system was removed. [Conclusion] The percutaneous catheterization kit system is suitable for long-term intra-arterial infusion chemotherapy and iodized oil chemotherapy embolization for liver metastases. The efficacy is satisfactory, and the complications are small and light, which is worthy of popularization and application.