腎動脈化療栓塞術治療老年晚期腎癌.pdf

1、山西醫(yī)科大學碩士學位論文腎動脈化療栓塞術治療老年晚期腎癌姓名：李鵬申請學位級別：碩士專業(yè)：影像醫(yī)學與核醫(yī)學指導教師：謝春明20080405山兩醫(yī)科人學碩Ij學位論義TreatmentofelderlypatientswithadvancedrenalcarcinomawithrenalarterialchemotherapyandembolizationAbstractobjective：Toevaluatetheclinicalthe

2、rapeuticeffectofrenalarterialchemotherapyandembolizationinthetreatmentofelderlypatientswithadvancedrenalcarcinomaMethods：Retrospectivelyanalyzed45elderlypatientswi飾advancedrenalcarcinomatreatedbyrenalarterialchemotherapy

3、andembolizationfrom2000Ato20071AllpatientsWerCtakeninspectionandlaboratoryexaminationbeforetheoperationUsingSeldingertechniquetocannulatthroughcommonfemoralarterySelectivecatheterizationtotherenalarteryforrenalangiograph

4、yby5FCorbarcathetersundertheDSAAccordingtotherenalangiographywemaketreatmentprogrammes，WetryourbesttosuperselectivecatheterizeSuperselectiveembolizationchemotherapyiscatheterizedintotumorfeedingarterytodothetreatby5FCorb

5、arcatheters，ifnotsucceed，usingcoaxial—Microcathetertechnique，superselectivecatheterizeintiotumorfeedingarteryby3FMicrocatheterIfsuperselectivecatheterizationisnotsucceedorwithgreatdifficalt，WCusenon—choicechemoembolizati

6、onItiscatheterizedneartumorarteryAIlthepatientswereobservedafter30—40daysintumorsizeandbodyweightGrosshematuriaclinicalsymptomsreactionafertheehemoembolizationandsurvivaltimewerealsoobservedResults：TheslzeofthetBmorafter

7、thetreatment3040dayslaterhadstrikingstatisticalsignificanceinthepatientsofstageRobsonlll(P005)Thebodyweightaverageincreased18kgbutthereWasnotstatisticallysignificant(P0620)；Thesizeofthetulnorafterthetreatment3040dayslate

8、rhadstrikingstatisticalsignificanceinthepatientsofstageRobsonIV(P005)Thebodyweightaverageincreased158kgbuttherewasnotstatisticallysignificant(P=O718)舢lsymptomaticpatientssymptomstovaryingdegreesreduceorevendisappearGross

9、hematuriasymptomswithin3daysafterembolizationdisappearedNoseriouspostoperativecomplicationshappenedConclusions：RenalarterialchemotherapyandembolizationWasrecommendedasaneffectivepalliativetreatmentforelderpatientswithadv