胃左动脉灌注化疗栓塞术治疗晚期贲门癌临床观察

Observation on the effect of the treatment of advanced cardiac carcinoma by the treatment of the left gastric artery infusion chemotherapy

目的研究胃左动脉灌注化疗栓塞术治疗晚期贵门癌的疗效。方法选择2012—04—2015-06我科56例贲门癌患者，采用Seldinger法，经皮穿刺股动脉插管，常规选择胃左动脉，进行胃动脉灌注化疗（奥沙利铂＋5-Fu方案）。同时将超液化碘油2～3mL＋表柔比星10mg制成混悬液，注入栓塞。结果经治疗患者临床症状均明显改善，进食哽噎感、吞咽困难、恶心、呕吐缓解或消失，体质量增加，大便潜血转阴。完全缓解19例（33．9％），部分缓解29例（51．8％），无效8例（14．3％），总有效率为85．7％。结论胃左动脉灌注化疗栓塞术治疗进展期贲门癌是一项疗效好、安全可靠的治疗手段。

OBJECTIVE The left gastric artery perfusion chemoembolization the curative effect of treatment of ad- vanced cardia cancer. METHODS Using Seldinger method, percutaneous puncture of femoral artery intubation, conven- tional choice left gastric artery, gastric artery perfusion chemotherapy （oxaliplatin into ＋ 5-FU scheme）. Iodine and su- per liquefaction oil 2--3 mL＋Epirubicin 10mg made into suspension liquid, injecting embolism. RESULTS After the treatment of patients with clinical symptoms were significantly improved, eating, and a lot of difficulty swallowing, nau- sea, vomiting, ease or disappear, weight gain, defecate occult blood. Complete remission 19 cases （33.9%）, partial in 29 cases （51.8%）, invalid 8 cases accounted for 14.3%, total effective rate was 85.7%. CONCLUSION Left gastric arterial infusion chemotherapy embolization of advanced cardiac carcinoma is a good curative effect, safe and reliable treatment.