内乳动脉插管介入治疗胸部病变

目的 探讨内乳动脉在胸部疾病中的血管造影表现及其在介人治疗中的价值。方法 应用seldinger法，对3l例病灶为内乳动脉供血或参与主要供血的胸部疾病患者进行了内乳动脉造影及介人治疗。结果3l例患者中，20例肺癌患者进行单纯内乳动脉或与其他供血动脉共同灌注化疗，部分行明胶海绵颗粒栓塞治疗，疗效满意。4例中、晚期乳癌灌注化疗后肿块明显缩小。1例低度侵袭性胸腺瘤灌注化疗后明显缩小转放疗。6例大咯血经内乳动脉和其他出血动脉灌注止血药物及明胶海绵栓塞后完全止血。结论 内乳动脉在一些胸部疾病中为主要供血动脉，经该动脉进行介入治疗有重要价值。

Internal mammary arterial infusion therapy for chest diseases

Objective To study the value of interventional therapy for chest diseases via internal mammary artery (IMA) and the features of internal mammary artery angiography. Methods 31 cases of different chest diseases were undertaken the angiography and interventional therapy through IMA. Results The lesions of 31 cases were supplied by internal mammary artery partly or totally. The good therapeutic effectiveness was achieved in 20 cases with pulmonary carcinoma. The masses and the enlarged lymph nodes were shrinked obviously in 4 cases of advanced breast carcinoma and one of them was cured with operation after internal mammary arterial infusion. One case of low invasive thymoma was cured by internal mammary arterial infusion combined with resection. The bleeding was stopped absolutely after IMA embolization in 6 cases of hemoptysis (bronchiectasis in 2 cases, pulmonary tuberculosis in 4 cases). Conclusions The interventional therapy via IMA is very important and necessary when the mass in the chest is supplied by IMA.