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Perfusion Chemotherapy via Left Gastric Artery in Preoperative Cases of Cardiac Cancer of the Stomach

郭玉林，马菁，王小东，张伟，赵俊玲

（宁夏医学院附属医院放射科，宁夏 银川 750004）

GUO Yu－lin，MA Jing，WANG Xiao－dong，ZHANG Wei，ZHAO Jun－ling

（Department of Radiology，the Affiliated Hospital，Ningxia Medical College，Yinchuan 750004，China）

ABSTRACT

　　Objective：To evaluate the effectiveness of preoperative perfusion chemotherapy via left gastric artery catheterization in patients with cardiac cancer of the stomach.

　　Methods：56 operated cases with cardiac cancer，who had undergone preoperative perfusion chemotherapy via left gastric artery，were collected and analyzed.

　　Results：Most of the tumors were hypervascular as studied with DSA.After perfusion chemotherapy，there was amelioration of symptoms.Decrease in size about 50％ of the tumor mass，shown in barium study were found in 32 patients，（18％ of them） .The survival rates one year，two years and three years after surgical resection were 98％，78.6％ and 53.6％ respectively.18 cases （32％） had gastric hemorrage，that was the main complication after perfusion.

　　Conclusion：Preoperative perfusion chemotherapy via left gastric artery in cases with cardiac cancer of the stomach is an effective measure in increasing resection rates in surgery.

　　Key Words：cardiac cancer of the stomach；perfusion chemotherapy

　　为提高贲门癌的手术治疗效果和Ⅱ期手术切除率，我们对100例中晚期贲门癌患者经胃左动脉插管灌注化疗，其中56例在灌注化疗后行择期手术切除，并取得了比较满意的效果。现总结如下。