摘要
目的报告肺切除合并全上腔静脉切除人造血管置换术治疗肺癌伴上腔静脉综合征患者的结果。方法１９９４年９月～１９９６年１１月，行肺切除合并全上腔静脉切除，人造血管置换重建术，治疗侵及上腔静脉的Ⅲｂ期肺癌３例。其中支气管、肺动脉袖状成型右上叶切除２例，右全肺切除１例。结果本组无手术死亡和严重手术并发症；术后无癌存活超过２８月１例，９月１例，２月１例。结论肺切除合并全上腔静脉切除、人造血管置换重建术，治疗肺癌合并上腔静脉综合征，能明显延长这类患者的近期和长期生存时间。
Objective To report the results of lobectomy and reconstruction of superior vena cava in the treatment of patients with lung cancer combined with superior vena cava syndrome (SVCS). Methods From September, 1994 to November, 1996, lobectomy or pneumonectomy combined with resection and reconstruction of superior vena cava with prosthesis in the treatment of patients with stage Ⅲ b bronchogenic carcinoma was carried out in 3 cases because the superior vena cava(SVC) was invaded by lung cancer. Of these patients, bronchoplastic procedures and pulmonary artery reconstruction combined with resection and reconstruction of SVC were performed in 2 cases, pneumonectomy combined with SVC reconstruction in 1 case. Results There was neither severe operative complications nor operative death in this group. One patient survived over 28 months, 1 more than 9 months, and the other 1 over 2 months.Conclusion Lobectomy combined with resection and reconstruction of SVC with prosthesis in the treatment of patients with lung cancer involving SVC can remarkably improve the short time and long term survival of such cases.
出处
《中国胸心血管外科临床杂志》
CAS
1997年第3期141-144,共4页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
肺肿瘤
癌
上腔静脉综合征
外科手术
Lung neoplasms/surgery Superior vena cava syndrome Surgical treatment
