子宫颈癌术前子宫动脉栓塞化疗23例

Uterine artery chemoembolization before surgery for cervical carcinoma

目的 探讨子宫颈癌术前行子宫动脉栓塞化疗的方法及疗效。方法 对 2 3例子宫颈癌 (Ⅰb2 期 5例 ,Ⅱa 期 8例 ,Ⅱb 期 10例 )行超选择性子宫动脉栓塞化疗 ,观察其疗效和毒副反应。介人性化疗后 2周行子宫根治术及盆腔淋巴结清扫术。结果 2 3例患者阴道出血、流液、腰骶部疼痛症状均明显缓解 ,栓塞化疗总有效率达 91.3 % ,手术成功率达 10 0 %。 2 3例各组淋巴结及切缘无癌。结论 子宫颈癌术前超选择性子宫动脉栓塞化疗 ,有助于提高手术切除率 ,减少复发和转移。

Objective To study the method and the effect of transcatheter uterine artery chemoembolization before surgical treatment of cervical carcinoma.Methods Twenty-three cases of cervical carcinoma were treated by super-selective uterine artery chemoembolizattion.Five cases were at stage Ⅰ b2 ,8 in stage Ⅱ a,10 in stage Ⅱ b,and the curative effect,toxic and side effects were observed.Radical hysterectomy and 1 ymph adenectomy were performed two weeks after interventional treatment.Results The symptoms of the 23 cases were relieved apparently.The total effective rate was 91.3%.The successful rate of operation was 100%.No cancer ceels were found in the lymph node of each group or in the stump in 23 cases.Conclusion Transcatheter super-selective uterine artery chemoembolizattion before surgery of cervical carcinoma can enhance the section rate and reduce relapse and metastasis.