术前加用髂内动脉灌注化疗治疗浸润性膀胱癌(附9例报告)

Preoperative Chemotherapy of the Internal Iliac Artery for Invasive Bladder Cancer

目的：报道9例浸润性膀肤癌患者在术前加用双侧骼内动脉灌注化疗，对其疗效进行观察分析。材料与方法：9例均采用Sedinger法行超选择性双侧骼内动脉造影及灌注卡铂十阿霉素，其后用B超、膀脱镜进行疗效观察。结果：全膀航切除者3冽，已存活10～48个月。TURBT者6例，其中1例术后1年内复发2次，其余5例已无瘤生存6～36个月。结论：浸润性膀肌瘤在术前经双侧骼内动脉灌注化疗药物，可使肿瘤局限化，减轻瘤周的浸润，有利于提高膀航癌的手术疗效。

Purpose: 9 patients with invasive bladder cancer were treated with preoperative chemotherapy of internal iliac intra -artery, and the curative effect is evaluated. Materials and Methods: Bilateral internal iliac artery were selected by se1dinger's methodthen carboplatin and adriamysin were delivered by catheters into the arteries of 9 patients. The effect was evaluated by B Ultrasonographyand cystoscopy. Results: 3 patients have lived for 10~ 48 months following total cystectomy. In 6 patients following TURBT, 5 pa-tients without tumor have lived for 6 ~ 36 months except that one patient recurred 2 times in first year. Conclusion: The chemotherapyof intemal iliac intraartery cou1d not on1y contract the size of tumor, but also may reduce infiltration of tumor. Therefore, It could con-tribute to resection of bladder cancer.