支气管动脉灌注化疗及栓塞术在肺癌综合治疗中的作用

Role of bronchial artery infusion chemotherapy and embolization in treatment of lung cancer

目的探讨支气管动脉灌注化疗及栓塞术在肺癌综合治疗中的作用。方法对78例病理确诊为肺癌的患者,行经支气管动脉灌注化疗及栓塞术,术后根据具体情况再选择手术、化学消融及射频消融、放疗等综合治疗。结果 78例患者中,支气管动脉灌注化疗及栓塞术后,有9例进行了手术切除,9例进行了射频消融,36例进行了放疗;放疗后复发再次行支气管动脉灌注化疗及栓塞术15例,单纯灌注化疗栓塞9例。结论肺癌的治疗应采取综合治疗手段,需要综合分析,确立个体化的治疗方案,以最有利于患者为出发点,支气管动脉灌注化疗及栓塞术在肺癌综合治疗中起到很重要的作用,为手术切除、放疗、化学消融及射频消融等治疗手段提供了机会和可能。

Objective To explore the role of bronchial artery infusion chemotherapy and embolization in the treatment of lung cancer. Methods A total of 78 patients with lung cancer diagnosed by pathology, bronchial artery infusion chemotherapy and embolization, after the operation, according to the specific situation, and then select the operation, chemical ablation and radiofrequency ablation, radiotherapy. Results In 78 cases, after bronchial artery infusion chemotherapy and embolization, 9 cases had operation excision, 9 cases had radiofrequency ablation, 36 cases had postoperative radiotherapy; 15 cases were with recurrence and had bronchial artery infusion chemotherapy and embolization, 9 cases had single pure perfusion chemotherapy embolism. Conclusions The treatment of lung cancer should take comprehensive treatment, comprehensive analysis, establish the individual treatment, in the most beneficial to patients as the starting point, bronchial artery infusion chemotherapy and embolization plays a very important role in the treatment of lung cancer, and provides opportunities and possibilities to surgical operation, radiotherapy, chemical ablation and radiofrequency ablation.