支气管动脉和肺动脉介入治疗原发性肺癌

INTERVIENT METHOD OF BRONCHIAL AND PULMONARY ARTERY TREAT FOR CARCINOMA OF LUNG

目的：通过肺动脉介入治疗肺癌，寻找一种肺癌介入治疗的新方法。方法：选择TNM分期为以Ⅲb期和Ⅳ期病人20例，分别采用支气管动脉灌注和肺动脉灌注。结果：20例分别接受支气管动脉灌注化疗和肺动脉灌注化疗，CR为0，PR分别为2例和3例，MR分别为5例，SD分别为1例和2例，PD分别为1例和0。用小样本配对比较t检验p＞0．05。结论：两种方法治疗原发性支气管肺癌疗效相仿，肺动脉介入可以作为晚期肺癌和肺癌手术以后巩固治疗的方法。

Objective: Because the characteristics of biological behaviors of carcinoma show highly malignant, rapid development and metastasis of blood system or lymphatic system and restricte operation of chest, it is important to find out the systemic interventional therapy for patients with lung cancer. Methods: On the basis of TNM, 20 patients with Ⅲb and Ⅳ stage were selected. The patients were divided by two teams, One was treated via brochial artery, another was toreated via pulmonary artery. Results: According to the WHO standard, CR = 0, PR = 2and3, MR = 5 and 5, SD = 1 and O,PD = 1 and O. Chnclusions: The efficacy of the two methods of interveniently treating carcinoma of lung are similar. both can be used effectively to treat late carcinoma of lung and to enhance therapy after operation of carcinoma of lung.