摘要
自１９８７年至１９９５年，对２３例中心型肺癌病人采用同时行支气管、肺动脉成形术治疗。其中支气管完全袖式切除２０例，楔形袖式切除３例；肺动脉干侧壁切除１８例，袖式切除５例。术后１、３、５年生存率分别为７．３％、４５．５％、３３．３％。采用同时支气管肺动脉成形术治疗中心型肺癌进一步减少了全肺切除术的比率，扩大了手术适应证，取得了满意的治疗效果。
Aim:To review the surgical experience of sleeve resection of bronchus and pulmonary artery in the treatment of central type lung cancer.Clinical material and method:From 1987 to 1995,23 patients with central type lung cancer underwent sleeve resection of bronchus and pulmonary artery.There were 21 males and 2 females with a mean age of 56 years.According to pTNM classification,3 were in stage II and 20 in stage IIIa.16 patients had squamous carcinoma,4 had adenocarcinoma,2 had small cell carcinoma and 1 had carcinoid.The surgical procedures included sleeve resection of bronchus in 20 cases,wedge resection in 3,sleeve resection of pulmonary artery in 5 and wedge resection of pulmonary artery in 18.Result:The operative mortality rate was 4.3%(1/23).The cause of death was bronchial anastomotic leak.The postoperative complications included air leak and pulmonary infection.The overall 1 year,3 year and 5 year survival rates were 73.9%,45.5% and 33.3%,respectively.Conclusion:The results of this study suggest that bronchoplasty and pulmonary arterioplasty allow sleeve resection of amy lobe and the main bronchus,thus maximize preservation of functional parenchyma.Sleeve resection of bronchus and pulmonary artery in patients with central type lung cancer,particularly in those with advanced lesions or poor lung function,can be achieved with excellent long term outcome.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1998年第5期260-262,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
