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进展期胃癌围手术期腹腔区域性化疗的效果
引用本文:冯志毅,张毅,王胜甲,张成仁,乔新华. 进展期胃癌围手术期腹腔区域性化疗的效果[J]. 青岛大学医学院学报, 2001, 37(2): 132-134
作者姓名:冯志毅  张毅  王胜甲  张成仁  乔新华
作者单位:青岛市市南区人民医院普通外科青岛 266002
摘    要:①目的 探讨进展期胃癌围手术期腹腔区域性化疗的方法和效果。②方法 回顾性分析1994年1月以来78例进展期胃癌施行围手术期腹腔区域性化疗的临床资料。③结果 原发性肿瘤缩小占73.9%(34/46);腹腔肿大淋巴结消失或缩小占86.7%(39/45),肝转移瘤缩小占69.2%(9/13);3例卵巢转移癌均缩小;腹水消退占87.5%(7/8),行根治性胃癌切除术41例(51.0%)。④结论 采用腹腔区域性化疗对进展期胃癌及其转移灶具有较好的疗效。

关 键 词:胃肿瘤 手术期间 输注 胃肠外 药物疗法 腹腔 区域性化疗 疗效 胃癌
文章编号:1001-4047(201)02-0132-03
修稿时间:2001-04-05

PERIOPERATIVE INTRAPERITONEAL CHEMOTHERAPY FOR ADVANCED GASTRIC CANCER
Abstract:Objective To explore the effective method of perioperative intraperitoneal chemotherapy for advanced gastric cancer. Methods A retrospective analysis was made for the clinical data of 78 patients from January 1994 , who received perioperative intraperitoneal regional chemotherapy for advanced gastric cancer. Results The primary tumor decreased in size in 73.9% of the patients(34/46), regression or disappearance of enlarged lymph nodes was 86.7%(39/45), liver metastatic mass decreased in size in 69.2%(9/13), the size of metastatic carcinoma in ovary of 3 patients decreased, ascites vanished in 87.5%(7/8). Radical gastrectomies were done for 41 cases (51.0%). Conclusion Regional intraperitoneal chemotherapy possesses better effectiveness for advanced gastric cancer and its metastatic foci.
Keywords:stomach neoplasms  perioperative period  infusions  parenteral  drug therapy  combination
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