肺动脉内留置导管长期介入治疗肺癌  

Long-Term Interventional Therapy of Lung Cancer by Retainning Catheter with Pump in Pulmonary Artery

作　　者：方淳[1] 乔文龙[1] 方立德[2] 陈昭明[2] 陈恒范[1] 王建华[1] 陈彤宇[2] 

机构地区：[1]华东医院放射科,200040 [2]上海第二医科大学附属第九人民医院胸外科

出　　处：《介入放射学杂志》1997年第1期27-29,共3页Journal of Interventional Radiology

摘　　要：支气管动脉或肺动脉介入治疗肺癌需反复多次插管化疗,给治疗带来诸多不便,增加患者痛苦,我们共对42例晚期肺癌患者行肺动脉内留置带泵导管对肺癌的长期介入治疗。取锁骨下静脉穿刺,经右心留置带泵化疗导管于肿瘤相应部位肺动脉,皮下埋泵。根据肿瘤不同病理类型,给于相应的化疗药物小剂量多次滴注,7～10天一疗程,每月一次,经治疗后,其中肺癌完全消失者16例,占38.1%;缩小超过50%者14例外,占33.3%;缩小未达到50%者8例,占19.1%;无明显变化者4例,占9.5%,故十分有利于对癌症患者长期治疗,患者生活质量也有所提高。42 patients with advanced pulmonary carcinoma,included 32 cases in stage Ⅲ and 10 cases in stage Ⅳ.Introduced catheter from Inf.clavicular vein into corresponding branch of pul- monary artery through heart,then kept the catheter with pump in the pulmonary artery,and embeded the pump with subcutaneous tissue.Perfused small dose of anti-cancer drug by pump every month with seven to ten days for one course.The results of treatment showed complete remission in 16 cases (38.1%);partial remission in 14(33.3%);mend remission in 8(19.1%);stable in 4(9.5%)Re- tainning catheter with pump in pulmonary arterial perfusion was an effective measure for long-term treatment of lung cancer.

关 键 词：肺肿瘤 癌 肺动脉 长期置泵 介入疗法 

分 类 号：R734.205[医药卫生—肿瘤]