摘要
作者应用液氮直接法冷冻技术治疗肺癌34例,其中原发性肺癌30例,多发性转移性肺癌4例。全部病人进行了随访,其结果:转移性肺癌一年生存率100％,二年生存率50％,一例至今已生存3年5个月。原发性肺癌一年生存率90.9％,二年生存率47.3％,三年生存率32.5％。本文重点介绍了手术方法,冷冻治疗肺癌的机制,提出了手术适应证及冷冻注意事项。冷冻治疗表明:冷冻对气管、支气管、及肺门部大血管是安全的。术后未发生支气管胸膜瘘,血气胸以及脓胸等严重并发症,恢复顺利。本文提示,对心肺功能差或用常规手术方法不能切除的晚期肺癌,冷冻手术可能是一项有效的姑息性治疗方法。
34 patients with lung cancer were treated by direct cryosurgery. 30 ofwhich were primary; 4 of which multiple metastative. The followup of all cases were made. The 1-year and 2-year survival rates of lung cancer were 100% and 50%, respectively. One patient of them has survived three and a half years healthily. The 1-year. 2-year and 3-year survival rates of primary lung cancer were 90.9%, 47.3% and 32.5%, respectively. The method of operation and the mechanism of cryosurgery, the indication of operation and key points in performing operations were discnssed. The results proved that it is safe to apply cryosurgery to the trachea, bronchus and pulmonary hilar vessels. Post-operative recovery has favourable without any severe complications such as bronchopleural fistula, hemopneu-mothorax of pythorax. For those patients with poor cardiopulmonary functions and for those tumor cannot be removed by riutine operation, cryosurgery may be an effective therapy.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1990年第5期387-389,共3页
Chinese Journal of Cancer
