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对35例晚期肺癌行86次选择性支气管动脉造影(BAG)和动脉内化疗药物灌注(BAI),对其中5例灌注混有丝裂霉素的碘油7～10ml(Lp—BAE),总有效率为77.1％。在有肺门纵隔淋巴结肿大的18例中,2例肿大淋巴结消失,7例缩小,说明BAI对纵隔内转移灶亦有效。Lp—BAE的5例均见肿块聚碘影,碘油可栓塞微血管增强疗效,还有助于观察肺不张内癌块的变化。
Thirty-five patients with advanced lung cancer underwent 86 selective bronchial artery angiography (BAG) and intraarterial chemotherapeutic drug infusion (BAI), and 5 of them were infused with iodomate 7 to 10 ml (Lp-BAE) of mitomycin. The effective rate is 77.1%. In 18 cases with mediastinal lymphadenopathy, 2 cases of enlarged lymph nodes disappeared and 7 cases decreased, indicating that BAI is also effective for mediastinal metastases. In 5 cases of Lp-BAE, iodine shadows were seen in the tumor. Lipiodol could embolize the microvasculature and enhance the therapeutic effect. It also helps to observe the changes of the atelectasis.