直肠癌合并肝转移癌术前介入治疗的临床观察

目的：评价直肠癌合并肝转移癌术前介入治疗在肿瘤综合治疗的价值。方法：采用Seldinger技术对16例直肠癌合并肝脏转移癌的患者进行术前肝脏及直肠局部介入化疗，其中6例对肝脏转移灶进行栓塞。术后3周进行手术治疗。结果：进行局部化疗后临床症状明显缓解，手术安全进行，有5例进行了根治性治疗，切除直肠及肝脏转移灶，14例原发灶完整切除。手术中出血减少，肿瘤易于剥离。结论：术前进行介入治疗不影响手术的安全性，可减少术中出血，提高手术切除率，减少术中扩散。在综合治疗中起相当重要的作用。

Clinical observation on interventional therapy of rectal carcinoma accompanied by hepatic metastasis before operation

Objective： To evaluate the interventional therapy of rectal carcinoma accmpanled by hepatic metastasis in comprehensive management. Methods：To evaluate the interventionaI chemotherapy was administered to liver and tectum of 16 patients with rectal carcinoma accomparued hepatic metastasis before operation,among which six hepatic metastatic loci accepted embolization management. The operations would be performed three weeks later. Results：Their clinical symptoms clearly remitted after the chemotherapy, and the operations were performed safely. Of the all patients, five accepted the radical operations,i, e. the rectal and the hepatic metastatic loci were removed,and 14 primary loci were resected completely. There was little bleeding,and the tumors were easy to be dissected in the operations. Conclusion：There are no influences on the safety of the operation. Interventional chemotherapy, which takes important part in comprehensive management,in beneficial to decreasing bleeding and tumor cell diffusion in the course of operation.