中晚期宫颈癌术前新辅助化疗联合栓塞术的疗效评价

戴少登; 李发中; 关文华; 杨建勇

中国临床医学影像杂志 ›› 2006, Vol. 17 ›› Issue (10) : 581-583.

论著

中晚期宫颈癌术前新辅助化疗联合栓塞术的疗效评价

戴少登1,李发中1,关文华2,杨建勇3

作者信息 +

The efficacy of neoadjuvant chemotherapy and embolism in the treatment of advanced cervical carcinoma

DAI Shao-deng1, LI Fa-zhong1, GUAN Wen-hua2, YANG Jian-yong3

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摘要

目的:探讨和评价术前新辅助化疗联合栓塞术对中晚期宫颈癌的疗效。方法:在局麻下对68例中晚期子宫颈癌患者术前行双侧子宫动脉内化疗术及碘化油栓塞术治疗。其中按FIGO临床分期(2003年)标准:IIa期13例,IIb期34例,III期15例,IV期6例。其中鳞癌63例,腺癌5例。结果:全部患者介入术后阴道排液或出血均有缓解,其中63例成功手术切除了肿瘤,手术成功率达93%。结论:对于中晚期宫颈癌术前经导管动脉内以顺铂为基础的新辅助化疗联合栓塞术,能明显减轻临床症状,提高肿瘤的手术成功率,是一种有效的辅助治疗方法。

Abstract

Objective: To explore and evaluate the neoadjuvant chemotherapy(NAC) and embolism for advanced cervical carcinoma before operation. Methods: NAC and LP embolism through both sides of uterine artery was performed in 68 patients with cervical carcinoma under local anesthesia. According to FIGO(2003), 13 cases were stage IIa, 34 cases were stage IIb, 15 cases were stage III, 6 cases were stage IV, including 63 cases squamous cell carcinoma, 5 cases adenocarcinoma. Results: All patients had no vagina bleeding after interventional procedure, including 63 cases succeeding in resection of tumor, the successful procedure rate reached 93%. Conclusion: NAC and embolism can reduce clinical symptoms and raise the successful operation rate. It provides an effective auxiliary treatment for uterine cervical carcinoma in the middle and late stage.

导出引用

戴少登;李发中;关文华;杨建勇. 中晚期宫颈癌术前新辅助化疗联合栓塞术的疗效评价[J]. 中国临床医学影像杂志. 2006, 17(10): 581-583

DAI Shao-deng;LI Fa-zhong;GUAN Wen-hua;YANG Jian-yong. The efficacy of neoadjuvant chemotherapy and embolism in the treatment of advanced cervical carcinoma[J]. Journal of China Clinic Medical Imaging. 2006, 17(10): 581-583

中图分类号： R737.33 R818.051