Fischbach R, Lackner K, Landwehr P, Heindel W
Institut und Poliklinik für Radiologische Diagnostik, Universität zu Köln.
Zentralbl Chir. 1998;123(6):703-13.
From diagnostic procedures interventional radiology has developed a large number of therapeutic methods that have found a place in the treatment of palliative care patients. Minimal invasiveness and high efficiency characterise the implantation of metallic stents in the treatment of malignant biliary or esophageal obstruction and vena cava compression syndrome. Transcatheter arterial embolisation, chemoembolisation and chemoinfusion for palliative treatment of inoperable liver malignomas are performed at many centers. A specific concept and an accepted spectrum of indications have to be better defined by prospective trials. Therapeutic decisions in this patient group have to based on the individual case. The interventional radiologists is increasingly involved in the interdisciplinary decision making process.
介入放射学从诊断程序发展出了大量治疗方法，这些方法在姑息治疗患者的治疗中占据了一席之地。金属支架植入术用于治疗恶性胆道或食管梗阻以及腔静脉压迫综合征，具有微创性和高效性的特点。许多中心都开展了经导管动脉栓塞术、化疗栓塞术和化疗灌注术，用于无法手术切除的肝脏恶性肿瘤的姑息治疗。前瞻性试验必须更好地界定一个特定的概念和公认的适应证范围。该患者群体的治疗决策必须基于个案情况。介入放射科医生越来越多地参与到跨学科决策过程中。
