肺癌支气管动脉树X线解剖及其临床意义  

Clinical Significance of X-ray anatomy Study and Image Analysis of Branch-arteriography Tree in Pulmonary Carcinoma by Study up

作　　者：史跃[1] 高从敬[1] 曹志章[1] 张南征[1] 栾智勇[1] 

机构地区：[1]解放军第97医院放射科,江苏徐州221004

出　　处：《解剖与临床》2005年第4期261-263,共3页Anatomy and Clinics

摘　　要：目的:研究肺癌肿瘤组织内支气管动脉树X线解剖学类型。方法:对61例肺癌患者行选择性支气管动脉造影(BAG)检查,按照瘤体内供血动脉的形态进行分型研究;根据分型结果选择不同介入方法进行介入治疗。结果:肿瘤组织内支气管动脉树X线解剖学形态可分为四种类型,即树干树枝型(10例,占16.4%)、树干树叶型(33例,占54.1%)、树枝树叶型(15例,占24.6%)、悬铃木树型(3例,占4.9%)。四种不同的解剖学类型采用不同的介入治疗方法显效率分别为30%、57.6%、86.7%、33.3%,总有效率75.4%。结论:根据支气管动脉树不同类型采取不同的介入治疗术式,其疗效比较有显著性差异(P<0.05)。Objective：To analyze X-ray anatomy type of branch-arteriorgraphy tree in pulmonary carcinoma. Methods：The branch-arteriography of 61 cases of pulmonary carcinoma were observed and analyzed. The X- ray anatomy type of branch-arteriorgraphy tree was analyed by the arteral morphology in lung cancer tissue. The interventional therapy should be done according to x-anatomy type. Results：4 kinds of X-ray anatomy type of banch-arteriorgraph tree in palmonay carcinoma tissise were tree-stem branch-anatomy type （ 10 cases, 16.4% ） ,tree-stem lobes-anatomy type （ 33 cases, 54.1% ）, treebraneh-treelobes x-ray anatomy anatomy type （ 15 cases,24.6% ） and chinar tree x-ray anatomy type （3 cases,49% ） .The efficienly of 4 kinds of interventional therapy was respectively 30%, 57.6%, 86.7%, 33%, the total efficieny was 75 %. Conclusion： The interventional therapy should be. taken accordig to the X-ray anatomy type of brachial arteriograply.

关 键 词：肺癌 支气管动脉树 X线解剖学 

分 类 号：R734.2[医药卫生—肿瘤]