【摘要】 目的探讨支气管动脉造影表现及化疗栓塞术治疗中晚期肺癌的临床效果并对其安全性及技术的可行性进行评价。方法对27例肺癌患者,根据支气管动脉造影情况,分析支气管动脉走行、粗细、有无肋间动脉共干及脊髓动脉显影,是否有肿瘤染色及病变部位、大小、范围,超选择插管,进行栓塞。结果本组27例肺癌经支气管动脉栓塞治疗,按照WHO实体瘤疗效判断标准近期有效率为(CR+PR)19例,占70、4%,稳定(SD)8例占29、6%。其中一例病人于2004年栓塞+介入化疗至今已近8年而依然生存。随访时间最短者9个月最长者90个月。并发症:本组有一例支气管动脉栓塞后出现背部皮肤红斑,一例栓塞后出现右下肢麻木及肌力下降,经治疗后症状好转,无一例严重并发症发生。结论支气管动脉栓塞术治疗肺癌只要选择病人得当,严格按照造影剂低浓度、低流速、超选择插管,避开脊髓动脉等危险支,操作轻柔得当,该方法应能达到提高患者生活质量延长患者带瘤生存时间的目的。更多还原

【Abstract】 Objective: Explore bronchial arteriography performance and chemotherapy embolization in the middle- late stage the clinical effect of lung cancer and to its security and the feasibility of the technology evaluation. Methods: 27 cases of patients with lung cancer,according to the bronchial arteriography,analyzes the bronchial arterial line,the thickness,whether go intercostals arteries were dry and spinal cord artery enhancement,whether there is a tumor lesion site,dyeing and size,scope,the choice intubation,embolism. Results: The 27 cases of lung cancer by the bronchial arterial embolization,according to the WHO solid tumor response judgment standard in the patients for( CR + PR) 19 cases,accounting for70,4%,stable( SD) 8 cases of 29,6%. One patient in 2004 + intervention has been embolization chemotherapy nearly eight years and still survive. Follow- up time the shortest nine months the longest 90 months. Conclusion: Bronchial arterial embolization in the lung cancer as long as the choice of the patient is proper,in strict accordance with low concentration and low contrast velocity,super choose intubation,avoid spinal cord artery,and dangerous of teams,operation gently proper,this method should be able to improve the quality of life of the patients prolong patient survival with tumor the purpose of the time.更多还原