摘要
经胸骨正中切口双肺肿瘤同期切除术５例，配以经典的单侧后外侧切口肺切除术５例，采用ＰＥＭＳ２．０统计软件包，配对比较了两种术式在下述几方面的差异；（１）两种术式对术后连续７天的ＰＯ２与ＰＣＯ２的影响基本一致，主要表现在术后第二天ＰＯ２的稍微下降，但两组之间的差异在统计学上没有显著性意义：（２）两种术式在手术时间，术后住院天数和生活质量等方面也不存在显著性差异。这些结果提示，病人能很好耐受双侧肺同期部分切除术。接受这一术式之后还可再次安全地接受第二次肺手术。本研究组的中位生存期已超过１２个月，生存期最长的已超过３年。因此，无论从治疗效果还是从经济角度来看，在治疗双肺多发转移癌上，经胸骨正中切口双肺肿瘤同期切除术值得倡导与推广。
A matched-pair analysis was
used to test the difference between thepatients with bilateral
pulmonary tumor using simultaneous resection via median stemotomy
andthat with unilateral pulmonary resection via posterolateraI
thoractomy by PEMS2.0 statistic. Theresults showed that the effects
on PCO2 and PCO2in postoperative-continuous 7 days between Thetwo
groups was similar and there wasasome-what fall in second day after
operation. There wasno significante difference statisiticely. The
same conditions was seen in operative times, post-operative
hospitalization day and the life quality(KPS). The study showed that
the patients couldendurw this procedure, and the posterolateral
thoractomy could be performed repeatedly after theformer operation.
The median survival in study group was beyond 12 months, among them
therewas a patients survived for 3 years. So, we emphasized that this
procedure is of choice for bilateralpulmonary tumor.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1995年第5期359-361,共3页
Chinese Journal of Cancer
关键词
胸骨正中
切口
肺肿瘤
外科手术
配对分析
Median
sternotomy Pulmonary neoplasm/surgery Pulmonary gas exchange Life
quality Statistics/matched-pair
