中、晚期原发性阴道癌的综合治疗

COMBINED TREATMENT IN ADVANCED PRIMARY CARCINOMA OF VAGINA

本文报告1979年1月至1984年12月收治的11例晚期原发性明道癌经动脉插管化疗、腔内置镭及^(60)钴体外放射的综合治疗的具体方法、临床效果及初步体会。着重介绍了单一腹壁下动脉及腹壁下动脉加髂内动脉两路插管化疗的手术切口的选择与病灶浸溯的关系,使用的药物及方法。原则上Ⅲ期病例均宜做两路捅管化疗,但鉴于髂内动脉插管手术难度高,又受客观条件(如肥胖、局部水肿)影响,不宜推广。

Eleven cases of advanced primary carcinoma of the vagina were treated with combined arterial chemotherapy and irradiation from Jan. 1979 to Dec. 1984. The treatment and clinical results are presented. Intraarterial chemotherapy via inferior epigastric and hypogastric artery are described in detail. The stage Ⅲ cases were treated with combined hypogastric and inferior epigastric artery catheterization chemotherapy prior to irradiation. Technically hypogastric artery catheterization is more difficult and application of this route should be considered individually. Our series is too small to illustrate the statistical significance between inferior cpigastric artery catheterization alone and in combination with hypogastric artery catheterization in chemotherapy. All the patients are living to date.