【作者】 金鹏； 孙钢； 易玉海； 谢志勇； 张绪平； 李凡东；

【Author】 JIN Peng, SUN Gang, YI Yu-hai, XIE Zhi-yong, ZHANG Xu-ping, LI Fan-dong (Department of Radiology, Jinan Military Command of PLA, Jinan 250031,China)

【机构】 济南军区总医院放射科；

【摘要】 目的　探讨支气管动脉化疗栓塞术治疗肺癌的临床疗效及应用价值。方法　46例肺癌患者,行支气管动脉造影明确其分支及肿瘤血管情况,超选插管至肿瘤供血动脉,先行局部化疗药物灌注,后以碘油加化疗药物混合乳剂进行栓塞。结果　46例大多血供丰富,二次介入治疗者肿瘤血管减少。完全缓解2例,部分缓解3 5例,稳定8例,进展1例。有效率80 .4%。症状缓解率5 1.4%。结论　支气管动脉化疗栓塞术治疗肺癌近期疗效较好,可以明显缓解症状,提高患者的生存质量更多还原

【Abstract】 Objective To evaluate curative effect of transbronchial arterial chemoembolization in the treatment of lung cancer. Methods 46 patients were included in this study. First, brochial arteriography was performed to identify the tumor-feeding branch, and super-catheterize it. After CDDP, MMC and 5-Fu was infused, embolization with mixture of Lipodol and cisplatin was carried out. Results The tumor blush of 38 patients stained obviously. The feeding arteries of 20 patients with the second treatment decreased obviously. In 46 patients, complete response (CR) were obtained in 2, patial response (PR) in 35, steady disease (SD) in 8, and no deterioration was seen. The overall response rate was 80.4%. clinical symptoms were relieved 54.1%. Conclusion Transbronchial arterial chemoembolization by super-selective tumor-feeding arteries catheterization has good short-term effect in the treatment of lung cancer and clinical symptoms were relieved evidently.更多还原