摘要
[目的]探讨介入治疗在肺癌治疗中的特点和局限性，为晚期肺癌的综合治疗提供理论依据。〔方法〕总结了近一年来接受支气管动脉灌注化疗的有纵隔淋巴结转移的晚期肺癌34例，并对原发灶与纵隔转移病灶各自对介入治疗的敏感性进行探讨。[结果]支气管动脉灌注化疗对肺癌原发灶的有效率为61.76％；对纵隔转移灶有效率为11．76％，两者比较有显著性差异（P＜0．01）。〔结论〕支气管动脉灌注化疗对纵隔转移病灶的疗效远较原发灶疗效差，对此组患者应探索一种综合治疗手段，以期最大程度地提高治疗效果。
[Purpose] To investigate features and limitations of interventional therapy in treatrment of interventional therapy in treatrnent of lung cancer ,and to provide theortical prooffor comprehensive treatment of advance lung cancer.[Method]We summarized 34 cases of lung cancer with metastasis to mediastinal lynph nodeswhich received bronchial artery infusion (BAI) chemotherapy,and investigated sensitivity of primary and mediastinal metastatic lesionsto BAItherapy.[Result]The response rate of BAI chemotherapy to primayry to primary lung cancer was 61.76%, and that to mediastinal metastasis was 11 .76% witha significant difference (P <0.01). [Conclusion]The therapeutic effects of BAI chemotherapy to mediastinal metastasis is by far poorer than thatto primary lesions,and thus a comprehensive treatmjent to these patients is expecteda -ensive bet to these Patients is expcted to impove therapeutic effects
