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目的探讨中晚期宫颈癌骼内动脉化疗栓塞的疗效及其临床意义。方法26例中晚期宫颈癌(Ⅱa期7例,Ⅱb期14例,Ⅲa-b期5例)行骼内动脉化疗栓塞,观察并评定其近期疗效。结果近期有效率为96.15%,其中18例经介入治疗后行手术治疗,6例宫颈出血者止血效果佳。治疗后出现主要的化疗副反应,如消化道反应及骨髓抑制,有轻至中度发热和盆腔区疼痛。结论介入性髂内动脉化疗栓塞是治疗中晚期宫颈癌的安全而有效的方法,它能缩小原发病灶,提高手术切除率,止血效果好,具有重要的临床意义。
Objective To investigate the curative effect and clinical significance of intraosseous arterial chemoembolization in advanced cervical cancer. Methods Twenty - six patients with advanced cervical cancer (7 in stage Ⅱ a, 14 in stage Ⅱ b and 5 in stage Ⅲa) underwent endovascular chemoembolization and their curative effect was observed and evaluated. The results of the recent efficiency was 96.15%, of which 18 cases were treated by intervention after surgery, bleeding bleeding in 6 cases of good results. After treatment, the main side effects of chemotherapy, such as gastrointestinal reactions and bone marrow suppression, mild to moderate fever and pelvic pain. Conclusion Interventional internal iliac artery chemoembolization is a safe and effective method for the treatment of advanced cervical cancer. It can reduce the primary lesion and improve the resection rate and hemostatic effect, which is of important clinical significance.