摘要
为探讨支气管、隆凸和血管成形术治疗肺癌的疗效，对９６例中心型肺癌分别施行支气管、隆凸和血管成形术６４、２０和３０例次。随访１、３、５年生存率分别为７９％、５１％、４８％；接受支气管、隆凸、血管成形术的５年生存率分别为５７％、２０％、３１％。结论：支气管、隆凸、血管成形术可以扩大肺癌的手术适应证、最大限度地保存肺功能，疗效不亚于单纯肺切除术。
Aim:Longterm results after bronchoplasty,angioplasty and carinal resection and reonstruction in the treatment of primary lung cancer varied at different clinics.This paper reviewed the experience of clinical application of these procedures.Clinical material and method:Ninetysix patients with lung cancer(stage 0 in 1,stage I in 32,stage II in 7,stage IIIa in 27,stage IIIb in 28 and stage IV in 1)were treated surgically from January 1987 to February 1996.There were 88 men and 8 women with a mean age of 57.4 years(range,31 to 70years).73 patients had squamous carcinoma;9,adenocarcinoma;6,small cell carcinoma;3 adenosquamous carcinoma;and 5,other types of carcinoma.Bronchial sleeve resection and plasty were performed in 64 patients,carinal resection and reconstruction in 20:carinal resection without pulmonary resection in 1,carinal plus lobar resection in 11 and carinal pneumonectomy in 8. 30 angioplasties were performed.Results:There were 3 postoperative deaths with a mortality of 3.1%.The causes of death were respiratory failure in 1 and anastomotic leak in 2.The overall 1year,2year and 5year survival rates were 79%(69/87),51%(32/63)and 48%(24/50)respectively.The 5year survival rates for bronchoplasty,carinal reconstrucion,angioplasty and double sleeve resection were 57%(21/37),20%(1/5),31%(5/16)and 25%(1/4)respectively.Conclusion:This study suggests that the use of aforementioned procedures in patients with lung cancer,particularly in advanced ones with poor lung function,may be associated with good longterm results.It can be performed with no significant increase in operative morbidity or mortality.The procedures allow sleeve resection of any lobe or the main bronchus and thus maximize preservation of functional pulmonary parenchyma.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1998年第2期90-92,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
肺癌
支气管成形
隆凸成形
血管成形术
Lung cancer Bronchoplasty Carinal reconstruction Angioplasty
