术中温热低渗灌洗化疗及术后动脉插管化疗在胃癌中的应用

探讨胃癌手术切除后腹腔及肝转移的防治方法，对218例胃癌切除术后病人随机分成术中腹腔温热低渗灌洗化疗及术后动脉灌注化疗126例（简称治疗组）和单纯术后静脉化疗92例（简称对照组），并对其腹腔转移率，肝转率为3年生存率进行对照研究。结果治疗组腹腔转移率27％，肝脏转移率12．7％，3年生存率69．5％，对照组腹腔转移率44．5％，肝脏转移率26．1％，3年生存率47．8％，本结果表明，术中温热低渗灌洗化疗及术后动脉化疗对进展期胃癌术后腹腔复发和肝转移有良好的防治作用。

APPLICATION OF HYPERTHERMIC PERITONEAL PERFUSION AND INTRAARTERIAL INFUSION CHEMOTHERPY IN GASTRIC CANCER

To study the treatment of peritoneal and hepatic recurrence of advanced gastric carcinoma after operation, 218 patients were divided into treatment group and control group.Treatment group: (hyperthemic peritoneal perfusion and intraarterial infusion chemotherapy)126 cases. Control group (peripleral veins): 92 cases. The peritoneal and hepatic recurrence and 3 year survival rate of each group were analyzed. The peritoneal and hepatic recurrence and 3 year survival rate in treatment group were 27%, 12 7% and 69 5%. and were 44 5%, 26 1% and 47 8% in control group. Hyperthermic peritoneal perfusion and intraarterial infusion chemotherapy are effective in control of the recurrence of advanced gastric cancer after operatin.