【摘要】 目的　改进支气管成形术的操作 ,减少支气管成形术后吻合口并发症的发生。方法　对 98例中心型肺癌患者应用支气管成形术进行治疗 ,在此基础上通过降低吻合口张力 ,重建支气管残端以及自体组织包绕吻合口等方法对传统操作进行改进。结果　 2例术后因吻合口瘘死亡 ,5例术后 1周左右发生吻合口周围感染征象 ,治疗后痊愈 ,其余患者均痊愈出院。术后 86例随访 10～ 4 8个月 ,均无刺激性咳嗽症状。结论　对支气管成形术的改进有效地解决了近远端支气管管径大小不一及管壁厚薄不均的问题 ,同时简化了手术操作 ,减少了术后吻合口并发症更多还原

【Abstract】 Objective To simplify the operative procedure, shorten the operative time, decrease anastomotic complications after bronchoplastic procedures for lung cancer. Methods Between 1998 and 2003, 98 patients with central primary lung cancer underwent bronchoplasty. Results Two patients died of anastomotic dehiscence after operation, 5 subjected to anastomotic infection at first week after procedure and cured. The remaining patients all recovered. No irritating cough occurred during a postoperative follow-up of 10 to 48 months. Conclusion Bronchoplasty is a useful to solve the problems of different sizes and thickness of bronchial wall in both ends of anastomosis. Meanwhile, it can simplify the procedure, shorten the operative time and reduce the complications.更多还原