【摘要】 目的 探讨肺叶加支气管袖状切除和气管隆凸切除重建术对治疗中央型肺癌的优越性。方法 总结并分析我院自1989～2001年46例接受该类手术的肺癌患者的临床资料。结果 本组并发症发生率为34.8%,主要为气管内出血(3例),肺部感染(2例)。所有患者术后配合化疗和/或放疗,全组1、3及5年生存率分别为91.3%(21/46)、68.7%(11/16)及45.5%(5/11)。2例术后出现肺不张并发感染致通气功能障碍。结论 肺叶加支气管袖状切除和气管隆凸切除重建术治疗中央型肺癌。不仅能最大限度地保留健康肺组织和肺功能,而且能较彻底消除病变,达到治疗的目的。随着麻醉技术的进展,该类手术死亡率明显降低,且并发症较少,值得重视和推广。更多还原

【Abstract】 Objective To review the advantages of bronchial sleeve resecation,carinal resection andreconstruction in the treatment of central lung cancer.Methods We summarized 46 cases of central lungcancer treated with this method in our hospital from 1989 to 2001 and discussed the surgical effect.Results The incidence of complications was 34.8%(8/46).Three cases of them had bronchial bleeding andtwo cases had pulmonary infection.The overall 1、3 and 5 year survival rate was 91.3%(21/46),68.7%(11/16),and 45.5%(5/11)respectively.All patients were given post-operative hemotherapy and /or radiotherapy.Two cases occurred atelectasis complicated with infection, which resulted in ventilation disturbance.Conclusion The results suggest that bronchial sleeve resection,carinal resection and reconstructionin the treatment of patients with central lung cancer can not only macimize preservation of functionalpulmonary parenchyma,but also resect the tumor thoroughly.This method may be spreacal for its lowermortality and less complications with the improvement of the anesthetic technology.更多还原