【摘要】 目的探讨肺癌支气管动脉造影征象与病理分型的相关性。方法本组40例患者均经手术或术前活检、痰细胞学检查后病理证实,其中鳞癌18例,腺癌12例,未分化癌8例,小细胞癌2例。全部病例行支气管动脉造影,同时采用国际抗癌联盟提出的TNM分期标准分期,其中,Ⅱ期5例,Ⅲa期10例,Ⅲb期11例,Ⅳ期14例。结果支气管动脉造影证实,瘤体呈多血供型22例,包括全部腺癌12例,未分化癌8例,小细胞癌2例。瘤体呈少血供型18例,皆为鳞癌。结论支气管动脉造影所表现的血供特征,在鉴别病理类型方面有重要价值。支气管动脉造影对肺癌的TNM分期亦能提供一定程度的科学依据。更多还原

【Abstract】 Objective To explore the correlation between b ronchial arteriography(BAG)and pathological types of lung can-cer.Methods Forty patients with preoperative bi opsy and postoperative pathology pr oved lung cancer which included 18sq uamocellular carcino-ma,12adenocarcinoma,8non -differentiated carcinoma,and 2small cell carcinoma underwent the BAG.Accord ing to the TNM scale,there were 5cases of stageⅡ,10cases of stageⅢa,11cases of stageⅢb and 14cases of stageⅣin all patients.Results BAG demonstrated successfully that the tumor bodies with rich blood -supply were found in t he patients with adenocarcinoma (n =12),non -differentiated carci-noma (n =8),and small cell carcinoma (n =2),while the tumor bodies with poor blo od -supply were found in the patients with squamocellu-lar carcinoma (n =18).Conclusion The blood -supplying characteristi cs of tumor body observed in BAG are mo re valuable to identify the pathological type of lung cancer whereas BAG can provide the scientific b ases for TNM staging.更多还原