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目的探索对不能手术切除的胰腺癌的有效治疗方法。方法对31例患者(67人次)均采用Seldinger氏法经皮股动脉穿刺插管,应用动脉超选插管至腹腔动脉、肝总动脉及肠系膜上动脉注入药物,采用FAM方案。两次化疗间隔为1~2个月。结果介入治疗后2~3周,895%的病人疼痛减轻,复查CT发现,63%的病人肿块缩小。结论介入治疗能提高对胰腺癌的治疗效果,与放疗、化疗相比,对不能切除的胰腺癌是一种有效的治疗方法。
Objective To explore an effective treatment for pancreatic cancer that cannot be surgically treated. Methods Thirty-one patients (67 times) were treated with percutaneous femoral artery puncture using Seldinger’s method. The arteries were superselectively inserted into celiac artery, common hepatic artery, and superior mesenteric artery to inject drugs. The FAM protocol was used. Two chemotherapy intervals are 1 to 2 months. Results After 2 to 3 weeks of interventional therapy, pain was relieved in 89.5% of patients. CT scans showed that in 63% of patients, the size of the tumor was reduced. Conclusion Interventional treatment can improve the therapeutic effect of pancreatic cancer. Compared with radiotherapy and chemotherapy, it is an effective treatment for unresectable pancreatic cancer.