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本文采用改良的Seldiger插管技术对 2 0例经病理证实复发性宫颈癌患者进行经皮髂内动脉灌注化疗 ,其中根治术后复发 12例 ,首选经典放疗法 8例。复发癌灶位于中央的 9例 ,在盆壁出现者 6例 ,中央及盆壁复发者 4例 ,远处转移 1例。 5例因盆腔肿瘤大粘连严重先行插管 ,治疗后复发癌块直径多缩小一半以上 ,症状明显减轻。余 12例为已手术者 ,辅以插管化疗巩固疗效 ,随访率 10 0 %。生存 5年 4例
In this paper, 20 patients with pathologically proven recurrent cervical cancer were treated with modified Seldiger intubation for percutaneous internal iliac arterial infusion chemotherapy. Among them, 12 cases were relapsed after radical operation, and 8 cases were the first choice of classical radiotherapy. Recurrent foci located in the central 9 cases, 6 cases appeared in the pelvic wall, central and pelvic recurrence in 4 cases, distant metastasis in 1 case. 5 cases of pelvic tumor due to serious adhesions first intubation, relapse after treatment of cancer more than half the diameter of the more narrow, the symptoms significantly reduced. The remaining 12 cases were operated, assisted by intubation and chemotherapy consolidation, the follow-up rate was 100%. Survival 5 years in 4 cases