在腋中线经右侧第三肋间后动脉灌注治疗右侧肺癌的应用解剖学研究

The Applided Anatomy for Treatment of Right Lung Cancer with the third Posterior Intercostal Artery Infusion at Media Axillary Line

目的 为临床晚期不能手术治疗的肺癌或中晚期化疗加放疗、化疗加手术的综合性治疗提供解剖学依据。方法 解剖、观察 12 1例成年尸体的右侧肋间后动脉与右支气管动脉的共干类型、右侧支气管动脉开口与椎骨的对应关系 ;测量右侧第三肋间后动脉在腋中线的外径。结果 右侧第三肋间后动脉与支气管动脉的共干情况有四种 ;支气管动脉共干开口处平对T4～T6椎骨 ,右侧第三肋间后动脉在腋中线的外径平均为 0 78mm± 0 33mm。结论 根据支气管动脉的解剖学基础 ,在腋中线选右侧第三肋间后动脉行保留导管 ,定期向癌区灌注化疗药物的方法 。

Objective To provide anatomy data for clinical treatment of advanced phrase lung cancer patients who can not be surgical treated but to accept chemotherapyor chemotherapycombine with a simultaneous radiotherapy. Method We dissected 121 adult corpus and collected the data on the parameters for clinical reference. Result The result shows that the common trunk of the right bronchial artery and posterior intercostalartery can be divided into fourkinds, the beginning of the right bronchial artery is atvertebraefrom T 4 to T 6 , In addition, the outer diameter of the third posterior intercostalartery at media axillary line is 0 78mm 0 33mm.Conclusion According to our study, we can conclude that it is a reliable and simple method to infuse drugswith thethird posterior intercostalartery at media axillary lineto treat advanced or media advanced right lung cancer.