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心包内全肺切除术治疗中央型肺癌

Innerpericardial total pneumonectomy for central trpe carcinoma of Iung

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【作者】 张竞超; 俞星火; 刘福生; 王世杰; 韩鸿酉; 李嵩岳;

【Author】 ZHANG Jing-Chao; YU Xing-Huo; LIU Fu-Sheng,et al (the Xinxiang City’s Second Hospital, Henan Province, China)

【机构】 新乡市第二人民医院!河南新乡; 453000;

【摘要】 目的探讨心包内全肺切除的手术方式及临床疗效。方法64例Ⅲ型中央型肺癌,其中鳞癌31例,腺癌22例,混合细胞癌11冽。按照统一手术方式,术后观察一年及三年生存率。结果患者经手术及术后处理痊愈出院,1年生存率82%,3年生存率31.5%。结论心包内全肺切除能使部分中晚期中央型肺癌手术切除成为可能,且能避免心包外处理解剖不清而出现的并发症。

【Abstract】 Objective To explore the way of operation of innerpericardial total pneumonectomy and its clinical effect. Methods Unified operation was conducted to treat 64 cases of central type Ⅲ carcinoma of lung,among whom 31 cases were squamous carcinoms,22 cases were adencarcinoma, 11 cases were mixed cell cancer. Then their one - year and three - year survival rate after operation were observed. Results Through operation and postoperative treatment, the patients recovered and were discharged from hospital, their oneyear survival rate reached 82%, three - year survival rate reached 32. 5 %. Conclusion Innerperivardial total pneumonectomy can make the excision of mediate and advanced - stage central type carcinoma of lung possible,and it can also avoid complications caused by unclear extrapericardial dissection.

  • 【文献出处】 新乡医学院学报 ,JOURNAL OF XINXIANG MEDICAL COLLEGE , 编辑部邮箱 ,1999年03期
  • 【分类号】R734.2
  • 【被引频次】2
  • 【下载频次】12
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