[1]张电波,董生,董伟华,等.非小细胞肺癌栓塞化疗术并发症分析[J].介入放射学杂志,2008,(03):176.
 ZHANG Dianbo,DONG Sheng,DONG Weihua,et al.Complications of trans-bronchial arterial chemo-embolization for non-small cell lung cancer[J].journal interventional radiology,2008,(03):176.
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非小细胞肺癌栓塞化疗术并发症分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年03期
页码:
176
栏目:
肿瘤介入
出版日期:
2008-03-15

文章信息/Info

Title:
Complications of trans-bronchial arterial chemo-embolization for non-small cell lung cancer
作者:
张电波董生董伟华
200003上海第二军医大学长征医院影像科
Author(s):
ZHANG Dian-boDONG ShengDONG Wei-huaJIA Ning-yangXIAO Xiang-sheng.
Changzheng Hospital,Second Military Medical University,Shanghai200003,China
关键词:
支气管动脉栓塞治疗性并发症
分类号:
R437.2
文献标志码:
A
摘要:
目的回顾分析非小细胞肺癌栓塞化疗术的并发症及其相关因素。方法非小细胞肺癌135例,行选择性支气管动脉插管造影确认病变血供,分别在支气管动脉主干或超选择性支气管动脉分支行灌注化疗加栓塞术。灌注化疗方案为三联药物:卡铂300mg ,丝裂霉素10~20mg 或表阿霉素40~60mg ,5-FU1000mg 。栓塞材料为明胶海绵颗粒或碘油。结果并发症发生率5.9%,包括脊髓缺血1例(0.7%)、肋间动脉缺血5例(3.7%)、肺动脉栓塞2例(1.5%)。经治疗后均于1~4周内缓解。脊髓缺血和肋间动脉缺血均发生在支气管动脉主干栓塞者。脊髓缺血和肺动脉栓塞仅见于碘油组,而肋间动脉缺血在明胶海绵颗粒组也有发生。结论支气管动脉栓塞术宜谨慎施行,超选择性支气管动脉插管及明胶海绵颗粒栓塞相对安全。

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备注/Memo

备注/Memo:
收稿日期:2008-01-10
更新日期/Last Update: 2008-03-15