支气管动脉灌注术和支气管动脉化疗栓塞术治疗肺癌的中国专家共识(2023版)
Chinese expert consensus on bronchial artery infusion and bronchial artery chemoembolization for the treatment of lung cancer(2023 Edition)
中国抗癌协会肿瘤介入学专业委员会 刘玉金 1伍筱梅 2王晓东3
作者信息
- 1. 上海中医药大学附属岳阳中西医结合医院
- 2. 广州医科大学附属第一医院
- 3. 北京大学肿瘤医院
- 折叠
摘要
支气管动脉灌注术(bronchial arterial infusion,BAI)和支气管动脉化疗栓塞术(bronchial arterial chemoembolization,BACE)治疗肺癌从20世纪80年代应用于临床,尽管缺乏高级别循证医学证据,暂时未能列入肺癌治疗相关指南与规范,但因BAI/BACE有较好的客观反应率和比系统化疗低的不良反应发生率,其临床应用备受关注.鉴于此,本共识通过系统回顾国内外研究文献,并广泛征集国内同道的意见和建议,结合临床实践并充分讨论,对BAI/BACE治疗肺癌的理论依据,特别是肺癌血供研究成果、适应证、禁忌证、术前评估事项、术前准备、操作流程、疗效评估、综合治疗、并发症防治以及随访要求等方面基本达成一致.为开展BAI/BACE临床实践和研究提供参考依据和技术支持,以期更好地发挥其在肺癌综合治疗中的临床作用.
Abstract
Bronchial arterial infusion(BAI)and bronchial arterial chemoembolization(B ACE)have been used in the clinical treatment of lung cancer since the 1980s.As BAI/BACE carries a better objective response rate and lower adverse effect rate than systemic chemotherapy,its clinical application has attracted much attention,although BAI/BACE has not been included in the guidelines and norms related to lung cancer treatment so far because there is a lack of high-level evidence-based medical evidence.On this account,through conducting a systematic review of domestic and foreign research literature,extensively collecting opinions and suggestions from domestic peer experts,combining clinical practice experience,and making comprehensive and in-depth discussion,this consensus has reached a basic agreement on the following aspects of BAI/BACE treatment for lung cancer:theoretical basis(especially the research results of lung cancer blood supply),indications,contraindications,preoperative evaluation items,preoperative preparation,operating procedures,efficacy evaluation,comprehensive treatment,prevention and treatment of complications,and follow-up requirements,etc.This consensus provides a reference basis and technical support for the clinical practice and research of BAI/BACE.It is expected that BAI/BACE will play a better role in the clinical comprehensive treatment of lung cancer.(J Intervent Radiol,2024,33:219-229)
关键词
肺癌/供血/支气管动脉/区域性/化疗栓塞/专家共识Key words
lung cancer/blood supply/bronchial artery/regional/chemoembolization/expert consensus引用本文复制引用
基金项目
上海市科委科技创新行动计划医学创新研究专项(20Y11913900)
出版年
2024
NETL
NSTL
万方数据