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目的作为姑息疗法,减轻临床症状,延长生长期,保全肢完整。方法骨动脉穿刺插管,腹主动脉。髂动脉造影,与肿瘤供血动脉内,经导管注入抗肿瘤药物及少量栓塞剂,最后造影复查。结果左髂内动脉造影风臀上肢为肿瘤供血动脉,肿瘤呈多血管形型,血供丰富,有少量小分支供应臀部软组织,经导管注入抗肿瘤药物及栓塞剂,肿瘤供血血管明显减少。结论骨肉瘤的治疗以手术为主,且术前多辅以放疗化疗,要至少超过一个关节进行截断或离断,多数患者难以接受,骨肉瘤的治疗并不多见,也答不到彻底治疗的目的,就姑息治疗而言,它满足了患者的要求。
Objective As a palliative treatment, to reduce clinical symptoms, prolong the growth period, maintaining limb integrity. Methods Bone arteries puncture cannula, abdominal aorta. Iliac artery angiography, and tumor feeding artery, the catheter into the anti-tumor drugs and a small amount of embolic agents, the final contrast review. Results Left internal iliac artery angiography showed that the upper limbs of the hip were tumor-supplying artery. The tumor was of multi-vessel type with abundant blood supply. A small amount of small branches were used to supply soft tissues of the buttocks. The antitumor drugs and embolic agents were injected through the catheter. Conclusion The treatment of osteosarcoma mainly by surgery, and preoperative supplemented with radiotherapy and chemotherapy, at least more than one joint to be cut off or severed, the majority of patients unacceptable, the treatment of osteosarcoma is rare, and can not be completely treated For purposes of palliative care, it fulfills the requirements of the patient.