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目的 为了评价介入放射技术治疗晚期骨盆肿瘤的疗效。方法 对 9例无条件手术的晚期骨盆肿瘤患者 ,通过动脉插管 ,血管造影 ,根据肿瘤的性质 ,分别采用顺铂、阿霉素、5 氟尿嘧啶、丝裂霉素对肿瘤进行局部灌注化疗 ,并利用碘油、明胶海绵对肿瘤的滋养血管进行检塞 ,术后定期复查X片 ,观察肿瘤变化。结果 肿瘤血管栓塞后再造影显示肿瘤染色明显减少 ,4例瘤区染色消失。所有病人疼痛减轻 ,肿瘤不同程度缩小 ,X片显示骨破坏减慢或停止 ,部分瘤区钙化。结论 介入治疗对骨盆肿瘤有明显减轻疼痛 ,缩小肿块的作用。介入治疗安全、有效、副作用小、特别适合晚期骨盆肿瘤和年高体弱不能耐受手术的患者。
Objective To evaluate the efficacy of interventional radiotherapy in the treatment of advanced pelvic tumors. Methods Nine patients with advanced pelvic tumor who had unconditional surgery were treated with intra-arterial intubation and angiography. According to the nature of the tumor, the patients were treated with cisplatin, doxorubicin, 5-fluorouracil and mitomycin respectively, Lipiodol, gelatin sponge on the tumor nourish vascular occlusion, regular review of X-ray after surgery to observe tumor changes. Results Tumor angiography after embolization showed a significant reduction of tumor staining, 4 cases of tumor area disappeared. All patients to reduce pain, reduce the extent of the tumor, X-ray showed slow or stop bone destruction, calcification of some tumor area. Conclusion Interventional treatment of pelvic tumors significantly reduce pain, reduce the role of mass. Interventional treatment is safe, effective and has few side effects. It is especially suitable for patients with advanced pelvic tumors and elderly patients who can not tolerate surgery.