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本文报告了49例中晚期肺癌患者,其中Ⅲa期28例,Ⅲb期14例,Ⅳ期5例,肺转移癌2例。应用选择性支气管动脉内灌抗癌药物治疗。经1～4次灌拄,X线片显示肿瘤完全消失(CR)10例,部分消失(PR)33例,稳定(S)2例,进展(P)2例。近期有效率95.9％,手术切除率20.4％。本文对肿瘤的血管构型、临床分期、病理类型、病灶部位等与疗效的关系以及并发症的预防,作了具体的介绍和探讨。
This article reports 49 patients with advanced lung cancer, including 28 patients with stage IIIa, 14 patients with stage IIIb, 5 patients with stage IV, and 2 patients with metastatic lung cancer. Selective bronchial artery irrigation with anticancer drug therapy. After 1 to 4 irrigations, X-ray showed that the tumor completely disappeared (CR) in 10 cases, partially disappeared (PR) in 33 cases, stable (S) in 2 cases, and progression (P) in 2 cases. The recent efficiency is 95.9%, and the surgical resection rate is 20.4%. In this paper, the vascular architecture of the tumor, clinical stage, pathological types, lesions and other aspects of the relationship between efficacy and prevention of complications, made a specific introduction and discussion.