支气管肺癌血液供应类型分析及其临床应用

Blood supply types analysis of bronchiogenic cancer and clinical value

目的探讨中晚期支气管肺癌组织血液供应(血供)类型及其指导介入治疗的意义。方法对76例肺癌患者行支气管动脉造影(BAG)检查,根据供血动脉在瘤体内的分布情况以及形态进行分析研究。结果根据肿瘤组织内支气管动脉树X线解剖学形态特点分为四种类型:支气管动脉瘘型(13例、17.1%);多血供型(24例、31.6%);中血供型(28例、36.8%);少血供型(11例、14.5%)。结论支气管肺癌血供类型不同。根据不同血供类型采用不同的介入治疗术式可以提高疗效。

Objective To study and evaluate vascularity types and the meaning of interventional therapy about bronehiogenic cancer organism within medium or terminal phases. Method Analysing the feeding artery distributions and their shapes within tumor based on the arteriography inspection for 76 patients with bronchiogenic cancer. Results Four types are classified according to the shape characteristics of X Ray anatomy for bronchiogenic arterial tree within tumor. Fistula of arterial bronchialis （ 13 patients, 17.1% ） ; affluent blood supply （24 patients, 31.6% ） ; medium blood supply （28 patients, 36.8% ） ; less blood supply （ 11 patients, 14.5% ）. Conclusions The blood supply types of bronchiogenic cancer is different （4 types）. The curative effect on bronchiogenie cancers is directly connected with cantered vaseularity.