支气管动脉灌注治疗支气管肺癌的效果观察

目的　探讨支气管动脉灌注 (BAI)化疗药物治疗支气管肺癌的临床效果。方法　对 12例经病理活检证实的中晚期支气管肺癌 ,经支气管动脉造影确认肿瘤供血动脉后 ,灌注化疗药 ,比较治疗前、后CT评价原发灶及纵隔淋巴结等的改变。结果　治疗前 12例支气管动脉增粗、纡曲、分支增多 ,血管网及血管湖形成。治疗后所有患者临床症状改善 ,病灶内部密度减低且与周围结构关系改善 ;瘤体及纵隔淋巴结均较前缩小 (P <0 .0 1)。结论　支气管动脉灌注治疗支气管肺癌有较好的近期效果

Observation of Effect of Bronchial Artery Infusion Treatment for Bronchial Carcinoma

Objective To probe into the clinical effectiveness of bronchial artery infusion (BAI) chemotherapy and medication in bronchial carcinoma patients. Methods Infusion chemotherapy was conducted in 12 pathology biopsy diagnosed patients with mid or advanced bronchial carcinoma on the blood supply arteries affirmed with bronchial arteriography to compare changes of CT appraisals on the protopathic and mediastinal lymph nodes before and after treatment. Results The bronchial arteries of the 12 patients showed signs of thickening, crooking and ramifying. Besides vasoganglion and vessel lakes were formed. After treatment, the clinical symptoms of all the patients were ameliorated, the interior density in the foci reduced and relations with adjacent structures improved, tumor and mediastinal nodes reduced (P<0.01). Conclusion BAI has a good short-term effect on bronchial carcinoma.