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盆腔血管床分离术是Hiraoka 1974年报导的一种化学治疗癌肿的新方法,通过闭合所有出入盆腔组织的全部血管,达到良好的止血作用,并于分离术后应用局部化疗使药物较长时间以高浓度集中在子宫及其周围组织,从而达到消灭肿瘤的目的。术后辅以放疗,以预防复发。其方法如下:在麻醉的诱导下,于二侧阴道粘膜外侧,粘膜皮肤交界处切口2cm,用Satinski’s 钳夹住粘膜下的阴道组织4～6小时,以隔开子宫直肠之间的血管交通支。完成阴道手术后行腹部切口,暴露腹膜外腔,按常规行腹膜外淋巴清扫术。清楚的暴露髂内外动静脉的主干和分支。结扎髂内动静脉、卵巢动静脉、臀上动脉、臀下动脉、阴部内动脉、闭孔动脉、子宫静脉。将化疗药物溶于5%葡萄糖水中单次注入髂内动脉。现将本院所做二例介绍如下:
Pelvic vascular bed separation is a new method of chemotherapeutic cancer reported by Hiraoka in 1974. It achieves good hemostatic effect by closing all the blood vessels in and out of pelvic tissues and applies local chemotherapy after isolation for a long time High concentrations of concentrated in the uterus and its surrounding tissue, so as to achieve the purpose of eliminating the tumor. Postoperative radiotherapy to prevent recurrence. The method is as follows: Under the induction of anesthesia in the lateral vaginal mucosa, mucosal skin junction incision 2cm, with Satinski’s forceps to clamp the submucosal vaginal tissue 4 to 6 hours to separate the uterine rectum vascular traffic branch . After completion of vaginal incision abdominal incision, exposing the extraperitoneal space, routine extraperitoneal lymphadenectomy. Clearly expose the trunk and branches of the internal and external arteries and veins. Ligation of the iliac artery and vein, ovarian artery and vein, superior gluteal artery, inferior gluteal artery, internal genital artery, obturator artery, uterine vein. Chemotherapy drugs were dissolved in 5% dextrose alone into the internal iliac artery. Now the hospital made two cases are as follows: