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目的 :介绍经皮股动脉植入动脉药盒系统 (IDDS)的操作技术及其在晚期肝肿瘤介入治疗中的应用价值。方法 :作者为6 0例晚期肝肿瘤病例施行 IDDS植入术。其中原发性肝癌 49例 ,肝转移癌 11例。肝功能 Child C级 32例 ,5 7例肿瘤直径超过 10cm。结果 :植入成功率 10 0 % ,导管到位率 10 0 %。术中及术后无严重合并症。结论 :经皮股动脉 IDDS植入术具有创伤小 ,操作简便 ,术者接受 X射线少等优点 ,为晚期肝肿瘤重复分次栓塞和长期间歇化疗建立了良好的药物投送途径。
OBJECTIVE: To introduce the technique of percutaneous femoral artery catheterization system (IDDS) and its application value in the interventional treatment of advanced liver tumors. Methods: The authors performed IDDS implantation in 60 patients with advanced liver tumors. Including 49 cases of primary liver cancer, liver metastases in 11 cases. Liver function Child C grade 32 cases, 57 cases of tumor diameter more than 10cm. Results: The success rate of implantation was 100% and the catheterization rate was 100%. No intraoperative and postoperative complications. Conclusion: The percutaneous femoral artery IDDS implantation has the advantages of small trauma, simple operation, less X-ray exposure and so on. It has established a good drug delivery route for repeated hepatic tumor with repeated fractionated embolization and long-term intermittent chemotherapy.