论文部分内容阅读
目的探讨介入化疗栓塞治疗宫颈癌合并出血的临床意义。方法对３２例宫颈癌合并出血的患者采用子宫动脉灌注５－氟尿嘧啶（５－Ｆｕ）、顺铂（ＰＤＤ）、丝裂霉素（ＭＭＣ）加碘油行子宫动脉化疗栓塞，再用明胶海绵栓塞止血。结果①盆腔动脉造影能清楚显示肿瘤血管及范围，明确出血部位，经化疗栓塞后全部病例得以止血。②介入治疗能够短时间内控制巨大肿瘤，但难以使肿瘤完全坏死。结论介入化疗栓塞能够取得满意的止血效果，是其他治疗手段不可比拟的。介入治疗能够提高宫颈癌的近期疗效，但单纯用介入治疗难以根治，必须配合手术治疗或放射治疗。
Objective To investigate the clinical significance of interventional chemotherapy and embolization in the treatment of cervical cancer combined with hemorrhage. Methods Uterine artery was infused with 5-fluorouracil (5-Fu), cisplatin (PDD) and mitomycin C (MMC) plus iodized oil to uterine arterial chemoembolization in 32 cases of cervical cancer with hemorrhage. Stop bleeding. Results ① pelvic artery angiography can clearly show the tumor blood vessels and the scope of a clear bleeding site, after chemotherapy embolization to stop bleeding in all cases. ② interventional treatment can control a huge tumor within a short period of time, but it is difficult to make the tumor completely necrosis. Conclusion Interventional chemotherapy embolization can achieve satisfactory hemostatic effect, which is incomparable with other treatment methods. Interventional therapy can improve the short-term effect of cervical cancer, but simply interventional treatment is difficult to cure, must cooperate with surgical treatment or radiation therapy.