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进展期胃癌术前动脉灌注化疗的临床观察

Preoperative intra-arterial lnfusion chemotherapy in the treatment of advanced grastric Cancer

  • 摘要: 本文报告12例进展期胃癌患者术前应用动脉灌注化疗,以提高手术切除率结果,本组病人经动脉灌注化疗1~2次后临床症状均有不同程度缓解。腹部包块缩小10例,占83.3%。在12例均手术探查中,有8例手术切除,占66.7%,其中D1根治术2例D2根治术4例,姑息性切除2例。组织学效果:轻度有效2例,中度有效5例,显著有效1例。疗效满意。因此,进展期胃癌术前动脉灌注化疗对改善临床病期,缩小原发病灶,使不能手术的患者变为可能手术有极其重要意义。

     

    Abstract: This paper reports on the effects of intra-arterial intubation chemotherapy as a first step of the heatment of 12 cases of advaned grastric cancer. Its aim is to improve operative resection rate. Patients who had received intra-arterial infusion chemotherapy 1 or 2 times were relieved in different degreses. Those whose enclosed masses in the abdomen were lessened in 10 occupied 83. 3 %. Of the eigh patients who had pperative resection, 2 got the radical operation of D1,4 radical operation of D2palliative operation with a response rate of 66. 7%. Histology effect has been proved that 2 patients with operaive resection brought a mild effect,5 moderate effect and 1 a striking effect with satisfactory results. Therefore, preoperative intra-arterial infusion chemotherapy in the treatment of advanced grastric cancer can improve clinical stadium and reduce the focus of primary disease. It is significant for patients that they will pely receive the operative therapy in the future.

     

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