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目的:评价动脉介入治疗在宫颈癌术前的应用价值。方法:对25例Ⅰb~Ⅲb期宫颈癌患者术前分别行1~2次选择性动脉灌注化疗及栓塞,并分析其临床资料。结果:全部病灶获得手术切除。介入治疗后至术前宫颈直径缩小约0.8~1.3cm,且质地变软,术中宫旁组织易剥离,出血少。术后病理Ⅱb期以下病例各断端均未见癌细胞。结论术前介入化疗栓塞明显提高中晚期宫颈癌患者的手术切除率,还有助于杀灭肿瘤周围微小转移灶,可作为宫颈癌综合治疗的一种有效方法。
Objective: To evaluate the value of arterial intervention in the preoperative cervical cancer. Methods: Twenty-five patients with stageⅠb-Ⅲb cervical cancer underwent selective arterial chemotherapy and embolization one to two times before operation, and their clinical data were analyzed. Results: All lesions were surgically removed. Interventional treatment to preoperative cervical diameter reduction of about 0.8 ~ 1.3cm, and the texture is soft, intrauterine tissue easily peel, less bleeding. Postoperative pathology Ⅱ b the following cases did not see each end of the cancer cells. Conclusion Preoperative chemoembolization can significantly improve the surgical resection rate of patients with advanced cervical cancer, and also help to kill tiny metastases around the tumor, which can be used as an effective treatment for cervical cancer.