肺癌支气管动脉血供类型及对介入方法和疗效的影响

The Type of Blood Vascular Supply to Pulmonary Carcinoma and Its Influences to the Intervention Methods and Curative Effect

目的:探讨肺癌血供类型对介入方法和疗效的影响及临床意义。方法:(1)回顾性分析60例中晚期肺癌支气管动脉造影征象,了解血供类型,(2)采用支气管动脉灌注化疗(BAI,25例)或加用栓塞(BAE,35例)。结果:富血型36例,较多血型20例,乏血型4例。BAI与BAE显效率76.7％。总有效率95％,无严重并发症。结论:对富血型和较多血型肺癌采用BAI与BAE治疗,能达到满意效果,是安全、有效、操作简便的治疗方法。

Purpose: To discuss the influences of blood vasculature of pulmonary carcinoma to the intervention methods and curative effect and its clinical significance. Materials and Methods.(1) The bronchical arterigrams in 60 cases of advanced stage pulmonary carcinoma were analyzed retrospectively. (2) 35 cases were treated with BAI(bronchical arterial infusion) and BAE(bronchical arrterial emboliza- tion), 25 cases with BAI alone. Treatment persisted for 4 weeks. Results: 36 cases were hypervascular 20 cases with moderate vasculature and 4 cases belonged to hypovascular. The efficiency rate of BAI and BAE 76.7% and total efficieney rate is 95%. No severe complications have taken place. Conclusion: BAI and BAE are effective for pulmonary carcinomas of hypervasculas and moderate vascular types. They are safe, effective and simple methods.