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目的 讨论肝恶性肿瘤应用化疗泵治疗效果和化疗泵内置导管两种主要不同方法的比较。方法 对 68例患者进行化疗泵导管留置化疗 ,其中留置胃十二指肠动脉 2 4例 ,肝固有动脉 3 7例 ,肝右动脉 6例 ,脾动脉 2例。结果 原发性肝癌有效率 2 9 5 % ,肝转移瘤有效率 5 8 3 %。原发性肝癌的 6个月、1年、3年生存率分别为 86%、5 4 %、6% ,肝转移瘤是 83 %、5 8%、8%。结论 化疗泵对治疗肝恶性肿瘤有较好疗效 ,其中以化疗泵导管内置胃十二脂肠动脉方法为首选。
Objective To discuss the comparison of the two main different methods for the treatment of hepatic malignancies with chemotherapy pumps and catheters built into chemotherapy pumps. Methods Sixty-eight patients were treated with chemotherapy pump catheters, including 24 gastroduodenal arteries, 37 hepatic proper arteries, 6 right hepatic arteries, and 2 splenic arteries. Results The effective rate of primary liver cancer was 295 %, and the effective rate of hepatic metastasis was 583 %. The 6-, 1-, and 3-year survival rates of primary liver cancer were 86%, 54.6%, and 6%, respectively, and hepatic metastases were 83%, 58%, and 8%. Conclusion Chemotherapy pump has good curative effect on the treatment of hepatic malignancies. Among them, the chemotherapy pump catheter is the first choice for the stomach-intestinal fat artery.