| 晚期胃癌动脉内化疗灌注与合用栓塞的临床研究 |
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| 引用本文： | 李茂全,林贵,王小林,王建华,颜志平,董永华.晚期胃癌动脉内化疗灌注与合用栓塞的临床研究[J].介入放射学杂志,1992(1). |
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| 作者姓名： | 李茂全 林贵 王小林 王建华 颜志平 董永华 |
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| 作者单位： | 上海医科大学中山医院放射科 200032 |
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| 摘 要： | 本组资料报告48例不能手术或术后复发胃癌患者,行胃动脉内插管治疗的结果。其中单纯动脉内灌注(GAI)16例,同时合用栓塞者(GAI+GAE)32例。结果显示:(1)生存率为:6个月,GAI组68.75％,GAI+GAE组87.5％;12个月,GAI组25％,GAI+GAE组60.7％;24个月,GAI+GAE组18.75％;(2)晚期胃癌多为富血管型(60.7％),治疗后病灶大小及血管改变,均以GAI+GAE显著;(3)发现碘化油可选择性地沉积于胃癌瘤体,证明了GAI+GAE是治疗晚期胃癌的新方法。
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| 关 键 词： | 胃肿瘤 动脉内化疗灌注与栓塞 生存期 |
CLINICAL COMPARATIVE STUDIES OF INTRAARTERIAL CHEMOTHERAPEUTIC INFUSION OR/AND EMBOLIZATION IN PATIENTS WITH ADVANCED GASTRIC CARCINOMA |
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| Li Mao-quan et al. Dept. of Radiology,Zhon Shan Hasp.CLINICAL COMPARATIVE STUDIES OF INTRAARTERIAL CHEMOTHERAPEUTIC INFUSION OR/AND EMBOLIZATION IN PATIENTS WITH ADVANCED GASTRIC CARCINOMA[J].Journal of Interventional Radiology,1992(1). |
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| Authors: | Li Mao-quan Dept of Radiology Zhon Shan Hasp |
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| Institution: | Li Mao-quan et al. Dept. of Radiology,Zhon Shan Hasp. Shanghai Medical University,Shanghai. |
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| Abstract: | Gastric arterial chemotherapeutic infusion(GAI) or/and embolization (GAE) were performed in 48 cases of inoperable or postoperative recurrent gastric carcinomas, including 16 GAI and 32 GAI + GAE.The result of comparative studies showed as follows:1.Survival rate;68.75% and 87.5% for GAI and GAI+GAE respectively within 6 months after the treatment.2.GAI and GAI+GAE were used in treating late stage gastric carcinoma (including 60.7% hypervascular type).The latter was more efficient for the shrankage of focus and improvement of vasculature.3.The selective accumulation of lipiodal within the tumor tissue would further more ackno wledge the clinical significance of GAI+GAE and present it as a new method of choice in dealing with late stage gastric carcinoma. |
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| Keywords: | Gastric carcinoma GAI(Gastric arterial chemotherapeutic infusion) GAE (Gastric arterial embolization) |
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