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通过动脉内灌药,内支架安置双介入治疗提高对十二指肠恶性梗阻姑息性治疗的疗效。十二指肠恶性梗阻病例14例,男5例、女9例,年龄20—69岁,经口安置自膨式十二指肠金属支架共15枚。其中12例在支架安置后定期行肿瘤供血动脉插管介入化疗。所有病例梗阻症状解除,2例未行动脉灌药治疗者分别于2个月及4个月死亡。12例双介入者生存期明显延长,最短6月,最长已达一年。结论:双介入治疗能提高姑息治疗疗效延长晚期肿瘤患者生存时间。
Through intraarterial injection, double interventional treatment of internal stents to improve the efficacy of palliative treatment of malignant duodenal obstruction. There were 14 cases of malignant duodenal obstruction, 5 males and 9 females, aged from 20 to 69 years old. A total of 15 self-expanding duodenal metal stents were placed at the mouth. Twelve of these patients received regular interventional chemotherapy after stenting. Obstruction symptoms were relieved in all cases. Two patients who had not been treated with arterial instillation died at 2 months and 4 months, respectively. The survival time of 12 cases of double intervention was significantly longer, the shortest in June, the longest one year. Conclusion: Double interventional therapy can improve the efficacy of palliative treatment and prolong the survival time of advanced cancer patients.