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肺癌支气管动脉血供类型对介入方法及疗效的影响
引用本文:李忱瑞,刘德忠,张明利,史仲华,李槐,曾辉英,郭彦军,姜文浩,周纯武.肺癌支气管动脉血供类型对介入方法及疗效的影响[J].中国医学影像技术,2001,17(3):244-245.
作者姓名:李忱瑞  刘德忠  张明利  史仲华  李槐  曾辉英  郭彦军  姜文浩  周纯武
作者单位:1. 中国医学科学院中国协和医科大学肿瘤医院影像诊断科,
2. 河南省郑州市河南中医药研究院
基金项目:本课题受国家科委“九五”攻关项目基金资助(96-907-03-03)。
摘    要:目的:探讨肺癌支气管动脉血供类型与介入治疗方法及疗效的关系。方法:分析81例肺癌共165次支气管动脉造影征象,了解其血供特点;采用支气管动脉内灌注化疗(BAI)和/或支气管内栓塞治疗(BAE)。结果:富血型42例,较多血型30例,乏血型9例;BAI和/或BAE后部分缓解(PR)50例,61.7%,无变化(NC)22例,27.2%,进展(PD)9例,11.1%。部分缓解中有21例获二期手术切除,PR病人均为富血型或较多血型。并发症经治疗可痊愈。结论:BAI和/或BAE治疗富血型和较多血型肺癌可达到满意效果,是安全、有效的重要治疗手段。

关 键 词:肺癌  血供  介入治疗  支气管动脉
文章编号:1003-3289(2001)03-0244-02
收稿时间:2000/10/19 0:00:00
修稿时间:2000年10月19

The Type of Blood Vascular Supply to Lung Cancer and Its Influences to the Intervention Methods and Curative Effect
LI Chen-rui,LIU De-zhong,ZHANG Ming-li,SHI Zhong-hu,LI Huai,ZENG Hui-ying,GUO Yan-jun,JIANG Wen-hao and ZHOU Chun-wu.The Type of Blood Vascular Supply to Lung Cancer and Its Influences to the Intervention Methods and Curative Effect[J].Chinese Journal of Medical Imaging Technology,2001,17(3):244-245.
Authors:LI Chen-rui  LIU De-zhong  ZHANG Ming-li  SHI Zhong-hu  LI Huai  ZENG Hui-ying  GUO Yan-jun  JIANG Wen-hao and ZHOU Chun-wu
Abstract:Objective To discuss the influences of blood vasculature of lung cancer to the intervention methods and curative effect. Methods The bronchical arterigrams in 81 cases of advanced stage lung cancer were analyzed retrospectively. They were treated with BAI (bronchical arterial infusion) and BAE (bronchical arterial embolization). Results 42 cases were hypervascular,30 cases with moderate vasculature and 9 cases belonged to hypovascular. The PR(partial response) of BAI and BAE was 61.7%(50/81), NC (no change) 27,2%(22/81), PD (progressive disease) 11.1% (9/81). 21 cases were resected after BAI and BAE. All cases of PR were belonged hypervascular or moderate vasculature. Conclusion BAI and BAE are effective for lung cancer of hypervascular and moderate vascutar types. They are safe、effective and simple methods.
Keywords:Lung  cancer  Blood  supply  Intervention  treatment  Broncheal arteries
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