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作者报告21例经皮锁骨下动脉穿刺配合皮肤小切口植入导管药盒系统,行动脉内化疗灌注,治疗中晚期恶性实体瘤的初步经验。与外科剖腹和局部手术切开动脉植入法比较,本方法具有操作简单,创伤小,并发症少,安全可靠等优点。本文还对植入的技术要点,适应证和禁忌证的掌握,并发症的预防和处理进行了讨论。作者认为,对不能手术切除的中晚期实体瘤,该介入治疗方法适宜,并可取代外科手术植入。
The authors reported 21 cases of percutaneous subclavian artery puncture combined with a small incision in the skin to implant the catheterization kit system to perform intra-arterial chemotherapy perfusion for the treatment of advanced malignant solid tumors. Compared with surgical incision and local surgical incision, this method has the advantages of simple operation, less trauma, fewer complications, and safety and reliability. This article also discusses the implantation of technical points, indications and contraindications, and the prevention and treatment of complications. The authors believe that this method of interventional treatment is suitable for advanced solid tumors that are not surgically resected and can replace surgical implantation.