【摘要】 目的:总结袖状肺叶切除术对老年中央型肺癌患者的远期疗效。方法:将行支气管袖状肺叶切除的中央型肺癌患者83例分为老年组36例和非老年组47例,比较2组5年生存率及相关指标。结果:2组术后均无严重并发症发生,术后用力肺活量(FVC)、1 s用力呼气容积(FEV1)和FEV1/FVC均较治疗前下降(P<0.01),而2组术后指标改善差异均无统计学意义(P>0.05)。老年组3年及5年生存率分别为61.2%、52.8%,非老年组分别为61.7%、53.2%,2组差异均无统计学意义(P>0.05)。结论:支气管袖状肺叶切除对老年中央型肺癌患者安全可行,术后并发症少,生存率较高,且可最大限度地保留患者肺功能,值得临床应用。更多还原

【Abstract】 Objective:To investigate the longterm effects of sleeve lobectomy in the treatment of central lung cancer in older patients.Methods:Eighty-three patients with central lung cancer treated with sleeve lobectomy were divided into older group(36 cases) and non-older group(47 cases).The 5-year survival rate and some clinical data of two groups were analysed.Results:No seriously postoperative complications in two groups were found.The postoperative forced vital capacity(FVC) and forced expiratory volume in 1 second(FVC1) and the ratio of FVC to FVC1 of two groups after operation were less than those in preoperation(P < 0.01).The differences of the postoperatively clinical data of two groups were not statistical significance(P > 0.05).The 3-year and 5-year survival rates in elder group and non-older group were 61.1% & 52.8% and 61.7% & 53.2%,respectively,the differences of which were not statistical significance(P > 0.05).Conclusions:Sleeve lobectomy in the treatment of central lung cancer in older patients is safe,less complications and high survival rate,which can reserve lung function of patients in large degree and be worthy of clinical application.更多还原