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目的 :探讨中央型肺癌经支气管动脉灌注化疗的价值。材料与方法 :15例中、晚期中央型肺癌均经病理证实 ,其中鳞癌 8例 ,未分化癌 6例 ,腺癌 1例。采用经皮股动脉穿刺插管 ,行支气管动脉造影 ,明确肿瘤为支气管动脉供血、并了解其血供特点后 ,行局部灌注化疗 ,间隔四周后重复治疗一次。其中 13例在第二次BAI后 3周辅加局部放疗。结果 :15例中央型肺癌富血型 14例 ,乏血型 1例。本组病例完全缓解 (CR) 2例 ,部分缓解 (PR) 12例 ,稳定 (SD) 1例 ,总有效率为93 3%。PR 12例行 5周放疗后复查胸片见肿瘤均有进一步缩小 ,SD 1例见肿瘤也有所缩小。结论 :中央型富血型肺癌BAI治疗疗效肯定 ,结合局部放疗 ,效果更满意。
Objective: To explore the value of transcatheter arterial chemoembolization in central lung cancer. Materials and Methods: 15 cases of intermediate and late central lung cancer were confirmed by pathology, including 8 cases of squamous cell carcinoma, 6 cases of undifferentiated carcinoma, and 1 case of adenocarcinoma. Using percutaneous femoral artery puncture cannulation, bronchial artery angiography, clear that the tumor for the bronchial artery blood supply, and understand the characteristics of blood supply, local perfusion chemotherapy, repeat treatment after four weeks. Thirteen of these patients received local radiotherapy 3 weeks after the second BAI. Results: There were 14 cases of central lung cancer with rich blood type and 1 case of blood deficiency type. In this group of patients complete remission (CR) in 2 cases, partial remission (PR) in 12 cases, stable (SD) in 1 case, the total effective rate was 93 3%. PR 12 routinely reviewed the chest radiograph after 5 weeks of radiation therapy to see that the tumors were further reduced. SD 1 cases also showed a reduction in tumors. Conclusion : The efficacy of BAI treatment for central type rich lung cancer is certain, combined with local radiotherapy, the effect is more satisfactory.