摘要
目的:分析栓塞化疗后二期切除晚期直肠癌临床疗效.方法:对不能根治性切除的晚期直肠癌行一侧髂内动脉、直肠上动脉双置管栓塞化疗.经1~4疗程(1~6个月)后,对其中无明显远处转移的晚期直肠癌,且部分缓解的20例行二期切除.结果:获随访18例,5例死亡,13例健在,随访时间8月~66月.1年、3年和5年生存率分别为92.5%、77%和70.8%.结论:对晚期直肠癌动脉栓塞化疗后二期切除能提高3年和5年生存率.
Objective: observe the long - term follow - up result of secondary - operation an advanced rectal cancer after arterial embolism chemotherapy. Methods:62 patients with advanced rectal cancer which couldn't be radical operated were treated with arte-rial embolism chemotherapy by indwelling catheter in internal iliac artery and superior rectal artery. After 1 ~ 4 times chemotherapy (about 1 ~ 6 months), the 20 case with partial remission and without distant metastasis were treated with secondary operation. Results: 18 patients were followed- up, in which 5 cases died, 13 cases still alive. The time were about 8~66 months. The survival rates of one - year, three - year and five - year were 92. 5 %, 77.0% and 70.8% respectively. Conclusion: secondary operation on advanced rectal cancer after arterial embolism chemotherapy can improve the survival rates of three- year and fire- year.
出处
《临床肿瘤学杂志》
CAS
1999年第2期22-24,共3页
Chinese Clinical Oncology
关键词
直肠癌
栓塞化疗
手术
治疗
肿瘤
Advanced rectal cancer Embolism chemotherapy Secondary operation Long - term result