胆肠吻合、灌注化疗配合放疗治疗胰头癌

COMBINATION OF CHOLECYSTOJEJUNOSTOMY OR CHOLEDOCHOJEJUNOSTOMY,PERFUSION CHEMOTHERAPY AND RADIOTHERAPY FOR CANCER OF THE PANCREATIC HEAD

自１９８８年６月共收治不能切除的胰头癌６４例。放射治疗２１例，胆肠吻合术治疗２３例，胆肠吻合、灌注化疗配合放射治疗２０例。１年生存率分别为０％、０％和４０％。以胆肠吻合、灌注化疗配合放疗疗效最好。方法为：胆肠吻合术后经化疗泵每周灌注阿霉素１０ｍｇ和５－Ｆｕ１０００ｍｇ，配合￣（６０）Ｃｏ照射，胰腺照射剂量６０Ｇｙ。

Abstract64 patients with unresectable cancer of the pancreatic head were admitted from 1988 to1992.21 cases were treated by radiotherapy(Group A), and 23 cases were treated bycholecystojejunostomy or choledochjejunostomy(Group B). 20 cases were treated bycholecystojejunostomy or cholecystojejunostomy combined with superior pancreatocoduoden-al the artery ADM, 5-FU perfusion with multifunctional implantable drug delivery systemand radiotherapy(Group C). The 1-year survival rates of these three groups were 0%,0%and40%, respectively. The authors believe that combined treatment of group C is recommendedfor unresectable cancer of the pancreatic head.