摘要
[目的]探讨影响中央型肺癌经支气管动脉化疗栓塞远期疗效的相关因素。[方法]搜集1990年4月～2002年5月经介入治疗的中央型肺癌572例,其中生存3年以上有92例(A组),3年以下460例(B组)。对其临床资料进行对照分析。[结果]A、B组中,发现肺癌多血供分别为23例、57例,采用综合治疗分别为75例、105例,介入化疗+栓塞分别为15例、75例,两组差异有统计学意义(P﹤0.05);A组中,介入治疗平均次数4.5次/人;B组中,介入治疗平均次数1.8次/人。[结论]肿瘤的分期、供血情况、介入治疗方法等是影响中央型肺癌远期疗效的重要因素;早期诊治、寻找异位供血及综合治疗等是提高远期疗效的关键。
[ Objective ] To analyse the related factors of long-term effect on central pulmonary carcinoma of bronchial arterial infusion and embolization. [Methods] 572 cases with central pulmanary cancinma from April 1990 to May 2002, including 92 cases survived over three years （A group） and 460 cases survived less than three years （B group） were analysed retrospectively on the influntial factors of long-term effect on central pulmonary cancer by interventional therapy. [ Results] Among 187 cases, the 39 cases （A Group） survived more than 3 years were in clinical stage Ⅲ-Ⅳ （no Ⅱ ）, 23 and 57 cases were rich on blood supply of tumor in group A and B respectively, 75 and 105 cases were treated by combined modality therapy in group A and group B respectively, 15 and 75 cases were treated by interventional therapy and embolization in group A and group B respectively. The cases in A and B groups were treated by interventional therapy 4.5 times per person and 1.8 times per person respectively on average. [ Conclusion ] Clinical tumor stage, blood supply of tumor, therapy project are the important factors of the long-them effect on central pulmonary cancer. Early diagnosis and treatment, finding ectopic blood supply and combined modality therapy are important to improve long-term effect.
出处
《现代预防医学》
CAS
北大核心
2007年第15期2968-2969,2971,共3页
Modern Preventive Medicine
关键词
肺癌
介入治疗
远期治疗
Pulmonary carcinoma
Interventional therapy
Long-term effect
