肺癌支气管动脉造影征象与病理分型相关性研究  

Research about the correlationship between bronchial arteriography and pathological types of pulmonary carcinomas

作　　者：季洪胜 王鹏 孙瑞华[1] 颜建国[1] 周安妮[1] 张绪敬[2] 

机构地区：[1]山东省潍坊市市立二院,261021 [2]潍坊市人民医院

出　　处：《医学影像学杂志》2000年第1期25-26,共2页Journal of Medical Imaging

摘　　要：目的　　探讨肺癌支气管动脉造影征象与病理的分型相关性。材料与方法本组６３例患者均经术前活检或术后病理证实，其中鳞癌３２例，腺癌１５例，大细胞未分化癌１２例，小细胞未分化癌４例。全部病例均成功地进行了规范化的支气管动脉造影，同时采用国际抗癌联盟提出的 ＴＮＭ分期标准分期；其中： Ⅱ期 ６例、 Ⅲａ期 １２例、 Ⅲｂ期 １７例、 Ⅳ期 ２８例。结果（１）瘤体多血供型４３例，包括全部１５例腺癌、４例小细胞未分化癌以及１１例大细胞未分化癌，１３例低分化鳞癌。（２）瘤体少血供型２０例，包括１９例鳞癌及１例大细胞未分化癌。结论（１）支气管动脉造影所表现的血供特征，在鉴别病理类型方面有重要价值。（２）支气管动脉造影对肺癌的ＴＮＭ分期亦能提供一定程度的科学依据。Purpose To explore the correlationship between BAG signs and pathological be of pulmonary carcinomas. Materials and methods All of the 63 cases were confirmed either by preoperation biopsy or operation pathologically. including 32 caese of squemous carcinomas. 15 cases of adenocarcinomas, 12 cases of large call and 4 cases of small cell undifferentiated carcinomas. All of the cases above were given formal BAG successfully. According to the TNM scale there were 6 cases of stage Ⅱ,12 cares of she Ⅲa,17 cases of stage Ⅲb and 28cases of stage N .Results (l)43 cases were the tumors with rich blood supplying including 15 cares of adenoarcinomas,4 cases of small cell undifferentiated carcinomas and 11 cases of large cell undifferentiated carcinomas, 13 cases of low differentiated squemous carcinomas 20 cases were the tumors with poor blood supplying including 19 cases of squemous and 1 case of large cell undifferentiated carcino- ma. Conclusion (1)the characteristics of the tumor's blood supplying observed in BAG were more valuable in difference the pathological types of pulmonary carcinomas. (2)The BAG can act as the Scientific has of the TNM scale.

关 键 词：肺癌 支气管动脉造影 相关性 

分 类 号：R8[医药卫生—临床医学] R445