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该文对82例肺内多发转移瘤的动脉插管化疗效果的影响因素进行了分析,结果证明:化疗效果与肺内转移灶的大小、多少密切相关。转移灶较小且数目较少的,化疗效果好;转移灶较大且数目较多的,化疗效果较差。经支气管动脉给药的化疗效果好,胸主动脉给药的也有一定疗效。原发癌为鳞癌的化疗效果好,腺癌的化疗效果次之,原发癌为其它恶性肿瘤的亦有一定疗效。选择适当的化疗方案,是提高疗效的关键。根据病人体质,原发癌的细胞学类型及转移瘤的大小与数目,合理选择化疗药物及剂量。动脉插管化疗能有效地控制病情,效果优于静脉化疗。
This article analyzes the influencing factors of 82 arterial intubation chemotherapy effects of multiple metastatic tumors in the lung. The results show that the effect of chemotherapy is closely related to the size and number of metastatic lung metastases. Smaller and smaller numbers of metastases have good chemo-effects; larger metastases and larger numbers have poorer chemotherapeutic effects. The bronchial arterial administration has a good effect of chemotherapy, and the thoracic aorta administration also has a certain effect. The primary cancer is squamous cell carcinoma with good chemotherapy effect, adenocarcinoma chemotherapy effect is second, and primary cancer is another malignant tumor. Choosing the right chemotherapy regimen is the key to improving the therapeutic effect. According to the patient’s constitution, the type of primary cancer cytology and the size and number of metastases, reasonable choice of chemotherapy drugs and dose. Arterial intubation chemotherapy can effectively control the condition, the effect is better than intravenous chemotherapy.