难治性宫颈癌阴道出血的介入治疗

Interposition Treatment and its Value for Intractable Vaginal Bleeding of Cervical Carcinoma

目的 :探讨难治性宫颈癌阴道出血的介入治疗及疗效。方法 :8例中晚期宫颈癌 (Ⅱa期 1例 ,Ⅱb期 5例 ,Ⅲb期 2例 )患者因阴道难治性出血 ,紧急采用髂内动脉化疗及血管栓塞 ,观察并评定其近期疗效。结果 :近期有效率10 0 % ,其中Ⅱa、Ⅱb期患者行宫颈癌根治术 ,断端无癌细胞 ,淋巴结转移者 4例。结论

Objective:To explore the value of chemotherapy and embolization treatment through iliac artery in intractable vaginal bleeding of cervical carcinoma.Methods:With the 8 cases of mid-late cervical carcinoma for intractable vaginal bleeding, the iliac artery chemotherapy and embolization treatments were employed, and the effects were observed.Results:All patients had remarkable results. Radical operations had been carried out on 6 cases,and no cancer cells had been found in the operation cut end; lymph transfers had been found in 4 cases.Conclusion: Interposition iliac artery chemotherapy and embolization is an urgent, safe and efficient method in treating vaginal bleeding for intractable cervical carcinoma, which is significant in reducing original area and stanching in a short amount of time.