中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
1期
40-42
,共3页
肺癌%化疗栓塞%碘化油
肺癌%化療栓塞%碘化油
폐암%화료전새%전화유
Lung cancer%Chemoembolization%Iodine oil
目的 探讨超选择碘化油动脉化疗栓塞治疗支气管肺癌的效果.方法 搜集2002年1月至2011年12月57例经病理证实的中晚期支气管肺癌,确认肿瘤供血动脉后行超选择支气管动脉化疗栓塞治疗,治疗后1个月记录患者临床症状、肿瘤大小改变情况及并发症发生情况.结果 本组患者中支气管肺癌右侧支-肋共干占14.0％(8/57),双侧支气管动脉供血占5.3％ (3/57),左、右支气管动脉共干占5.3％(3/57),肋间动脉参与供血占7.0％ (4/57),胸廓内动脉参与供血占1.8％ (1/57);57例患者均成功实施了碘化油动脉化疗栓塞治疗,患者术后临床症状减轻,部分消失,肿瘤供血动脉阻断,肿瘤发生缺血坏死,瘤体缩小.治疗后完全缓解率为66.7％(38/57),总有效率为84.2％ (48/57),无变化为10.5％ (6/57),进展为5.3％(3/57).结论 超选择碘化油动脉化疗栓塞疗法可以明显缓解症状,提高患者的生存质量,是治疗支气管肺癌的有效方法.
目的 探討超選擇碘化油動脈化療栓塞治療支氣管肺癌的效果.方法 搜集2002年1月至2011年12月57例經病理證實的中晚期支氣管肺癌,確認腫瘤供血動脈後行超選擇支氣管動脈化療栓塞治療,治療後1箇月記錄患者臨床癥狀、腫瘤大小改變情況及併髮癥髮生情況.結果 本組患者中支氣管肺癌右側支-肋共榦佔14.0％(8/57),雙側支氣管動脈供血佔5.3％ (3/57),左、右支氣管動脈共榦佔5.3％(3/57),肋間動脈參與供血佔7.0％ (4/57),胸廓內動脈參與供血佔1.8％ (1/57);57例患者均成功實施瞭碘化油動脈化療栓塞治療,患者術後臨床癥狀減輕,部分消失,腫瘤供血動脈阻斷,腫瘤髮生缺血壞死,瘤體縮小.治療後完全緩解率為66.7％(38/57),總有效率為84.2％ (48/57),無變化為10.5％ (6/57),進展為5.3％(3/57).結論 超選擇碘化油動脈化療栓塞療法可以明顯緩解癥狀,提高患者的生存質量,是治療支氣管肺癌的有效方法.
목적 탐토초선택전화유동맥화료전새치료지기관폐암적효과.방법 수집2002년1월지2011년12월57례경병리증실적중만기지기관폐암,학인종류공혈동맥후행초선택지기관동맥화료전새치료,치료후1개월기록환자림상증상、종류대소개변정황급병발증발생정황.결과 본조환자중지기관폐암우측지-륵공간점14.0％(8/57),쌍측지기관동맥공혈점5.3％ (3/57),좌、우지기관동맥공간점5.3％(3/57),륵간동맥삼여공혈점7.0％ (4/57),흉곽내동맥삼여공혈점1.8％ (1/57);57례환자균성공실시료전화유동맥화료전새치료,환자술후림상증상감경,부분소실,종류공혈동맥조단,종류발생결혈배사,류체축소.치료후완전완해솔위66.7％(38/57),총유효솔위84.2％ (48/57),무변화위10.5％ (6/57),진전위5.3％(3/57).결론 초선택전화유동맥화료전새요법가이명현완해증상,제고환자적생존질량,시치료지기관폐암적유효방법.
Objective To evaluate the effect of superselective arterial iodine oil chemoembolization on treatment of lung cancer.Methods Fifty-seven patients with lung cancer were studied.Guided by tumor blood artery with bronchial arteriograghy,superselective arterial iodine oil chemoembolization was performed in all patients.Results All cases were successfully super-selectively catheterized and chemoembolized; the postoperative clinical symptom was reduced.In this group,right branch-the ribs accounted for 14.0％ (8/57),bilateral bronchial artery accounted for 5.3％ (3/57),left and right bronchial artery accounted for 5.3％ (3/57) ; blood intercostal arteries were involved in 7.0％ (4/57) and internal thoracic artery in the blood supply accounted for 1.8％ (1/57).The complete remission rate was 66.7％ (38/57) ; total effective rate was 84.2％ (48/57) ; unchanged rate was 10.5％ (6/57) and progressed rate was 5.3％ (3/57) after treatment.All cases were successfully superselectively catheterized and chemoembolized; the postoperative clinical symptom was reduced.Conclusions Superselective arterial iodine oil chemoembolization is an effective and safe method for lung cancer,which can significantly reduce symptoms and improve the life quality.
