【摘要】 目的 :探讨支气管及肺动脉成形术的适应证、手术技术及并发症防治。方法 :回顾性分析 1989年 7月 1日～ 2 0 0 2年 12月 3 1日 43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 3 3 %( 10 /4 3 ) ,术后 3 0d死亡率 4 7% ( 2 /4 3 ) ,术后总的 1、3及 5年生存率分别为82 1% ( 3 2 /3 9)、5 1 7% ( 15 /2 9)及 3 1 3 %( 5 /16)。结论 :同时性支气管肺动脉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 ,且为部分肺功能差的肺癌患者提供了切除病变的机会。更多还原

【Abstract】 OBJECTIVE:To discuss the indication and surgical technology of bronchial and pulmonary artery sleeve resection and prevention of complications.METHODS: Forty-three cases of central NSCLC treated with bronchial and pulmonary arterial sleeve resection and reconstruction simultaneously in our hospital from July l989 to Dec 2002 were analyzed.RESULTS: The incidence of complications was 23.3%(10/43), the mortality in 30-day postoperation was 4.7%(2/43),the overall 1-,3- and 5-year survival rates were 82.1%(32/39),51.7%(15/29)and 31.3%(5/16),respective1y. CONCLUSIONS: Bronchial and pulmonary arterial sleeve resection and reconstruction simultaneously in the treatment of central NSCLC patients can not only maximize preservation of functional pulmonary parenchyma and improve patients life quality , but also provide an opportunity to the patients with low pulmonary function to resect the tumor thoroughly. [更多还原