摘要
目的探讨经皮动脉灌注化疗与栓塞(TACE)在原发性腹膜后恶性肿瘤(MPRT)综合治疗中的意义。方法回顾性分析在我科行动脉灌注化疗与栓塞后手术并经病理证实腹膜后恶性肿瘤5例,总结MPRT血供特点与TACE临床意义。结果 5例腹膜后恶性肿瘤TACE后均有腹痛减轻、压迫症状改善,介入治疗后5～10 d手术,术中出血少,易剥离,病理大体标本实性部分有不同程度液化坏死,镜下肿瘤细胞呈凝固性坏死。结论对MPRT,TACE可改善其症状,便于外科手术。
Objective To investigate the treatment of transcatheter arterial chemoembolization （TACE） in patient with malignant primary retroperitoneal tumor （ MPRT）. Methods Five cases of MPRT confirmed pathologically and treated by TACE before surgi- cal operation were analyzed retrospectively in order that the tumor blood supply and the clinic value of TACE would be found out. Results All the five patients with MPRT felt less bellyache and less oppressing symptom after TACE treatment, and 5 - 10 days later, they received surgical operation with less hemorrhage and the tumors were easier to be peeled off. Liquefaction necrosis was seen in most parenchyma of the tumor in general pathologic samples. Coagulative necrosis of tumor cells was seen by microscope in most cases. Conclusion TACE can alleviate the symptom of patients with MPRT and make it easier to be resected.
出处
《临床军医杂志》
CAS
2013年第3期260-261,共2页
Clinical Journal of Medical Officers
关键词
腹膜后肿瘤
原发性
灌注化疗
栓塞术
retroperitoneal tumor
primary
arterial infusion
arterial embolization
