摘要
目的 探讨支气管及肺动脉成形术的适应证、手术技术及并发症的防治。方法 回顾性分析 3 2例行支气管肺动脉联合成形术治疗中心型非小细胞肺癌患者的临床资料。结果 并发症发生率为 2 5.0 % (8/3 2 ) ,术后 3 0d死亡率 6.3 % (2 /3 2 ) ,术后总的 1,3 ,5年生存率分别为 82 .8% (2 4/2 9 )、50 .0 % (11/2 2 )和 3 3 .3 % (4/12 )。结论 支气管肺动脉联合成形术治疗中心型非小细胞肺癌 ,不仅能最大限度地保留肺组织 ,提高患者术后的生活质量 ,而且为部分肺功能差的肺癌患者提供了切除病变的机会 。
Objective To evaluate the indications and surgical procedure of bronchial and pulmonary artery sleeve resection for patients with centrally loca ted non-small cell lung cancer, and how to prevent complications. Methods From July l989 to Aug 2000, 32 cases of central NSCLC were treated with bronchia l and pulmonary arterial sleeve resection and reconstruction. The results were r etrospectively analyzed. Results The complication rate was 25.0%(8/32), the mortal ity rate in 30-day postoperation was 6.3%(2/32),the overall 1-, 3- and 5-ye ar survival rate was 82.8%(24/29),50.0%(11/22)and 33.3%(4/12), respective1y . Conclusion Bronchial and pulmonary arterial sleeve resection and reconstructi on in the treatment of patients with central NSCLC can not only maximize preserv ation of functional pulmonary parenchyma and improve patients , quality of lif e, but also provide an opportunity for those patients with poor pulmonary function to receive surgical resection of the tumor.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2004年第1期55-57,共3页
Chinese Journal of Oncology
关键词
支气管肺动脉联合成形术
治疗
非小细胞肺癌
疗效观察
Lung neoplasms/surgery
Carcinoma,non-small cell lung/surgery
Pulm onary arterial sleeve resection
