选择性支气管动脉灌注及栓塞治疗肺癌的疗效分析  

Effect on Lung Carcinoma by Means of Selective Bronchial Artery Infusion and Embolization

作　　者：章树桥[1] 王家平[1] 任淑云[1] 江利峰[1] 解开鹏[1] 张文[1] 

机构地区：[1]昆明医学院第二附属医院,云南昆明650101

出　　处：《昆明医学院学报》2009年第6期101-104,共4页Journal of Kunming Medical College

摘　　要：目的分析选择性支气管动脉介入化疗及栓塞对肺癌的疗效.方法92例中晚期肺癌,均经病理证实.行支气管动脉及其它供血动脉造影,确认为肺癌供血动脉后,灌注化疗药,再经导管注入栓塞剂(明胶海绵44例、Fe3O431例、Coil17例)栓塞供血动脉.结果支气管动脉BAT+BAE结合治疗肺癌,肺癌不同分期之间疗效差异均有统计学意义(P<0.05),且疗效有随着分期的增加而降低的趋势.另外,BAT+BAE治疗肺癌,临床症状改善的有效率分别为咯血100%,声嘶76.2%,肺不张74.4%,上腔静脉阻塞综合症100%.结论选择性支气管动脉化疗加栓塞是治疗中晚期肺癌的有效方法,配以综合治疗效果更好.Objective To analyze the treatment effects on the lung carcinamaby means of selective bronchial artery chemotherapy and embolization. Methods 92 cases of lung carcinoma in mild or late period were proved pathologically. After detecting the nourishing arteries of bronchogenic Carcinoma with angiography, anticancer drugs were poured into the nourishing arteries, The Fe3O4 or coil and gelform were used to embolize these arteries. Results Treatment of lung cancer with BAT＋BAE, the efficiency of the different stage of lung cancer had statistical significance （P 〈 0.05） , and with the stage increase, the efficiency decline. Besides, efficiency rate in different symptoms of lung cancer by BAI＋TAZ were hemoptysis100%, hoarseness 76.2 %, Pulmonary atelectasis 74.4% , superior vena cava obstruction 100% respectively. Conclusion Selective brionchiol artery chemotherapy and embouzation is an effective and safe method in the treatment of lung carcinoma to mild or late period. If synthetic treatment is taken, the treatment effect will be much better.

关 键 词：肺癌 支气管动脉 灌注化疗 栓塞 

分 类 号：R734.2[医药卫生—肿瘤]