【摘要】 目的总结应用肺叶切除并肺动脉重建术治疗中心型肺癌的经验。方法回顾性分析自1995年9月至2006年8月,我院采用肺叶切除肺动脉重建术治疗中心型肺癌42例,其中24例肺动脉楔形切除后10例直接对拢缝合,14例用自体心包片修补;18例行肺动脉段袖式切除后6例直接吻合,5例用自体奇静脉移植,7例用自体心包片作成人工管道间置,恢复血管的连续性;同期有19例施行支气管成形术;术后有29例接受化疗,8例接受放疗。结果术后无死亡病例,并发肺炎7例,轻度肺不张4例,支气管残端漏1例,经治疗后均获痊愈。余者恢复良好,均顺利出院。结论肺叶切除肺动脉重建术治疗中心型肺癌能提高肺癌切除率,扩大手术适应证,最大限度保存患者的肺功能,是一种安全有效的手术方法。更多还原

【Abstract】 Objective To review the surgical experience of prosthetic reconstruction of the pulmonary artery(PA) in the treatment of central type lung cancer.Methods Between September 1995 and August 2006,42 patients with central type lung cancer were surgically treated with prosthetic reconstruction of PA in our hospital.In 24 cases subject to PA reconstructions by PA wedge resections,direct suture was done in 10 cases and a patch of autologous pericardium was used in 14 cases.In 18 cases subject to PA sleeve resection,direct suture was done in 6 cases,transplantation of autologous azygous venae in 5 cases and a pericardial conduit was made by using a patch of autologous pericardium in 7 cases.Bronchial sleeve lobectomy was performed in 19 patients.29 patients received postoperative chemotherapy and 8 radiotherapy.Results There was no postoperative death.Postoperative complications included pneumonia(7 cases),mild pulmonary atelectasis(4 cases) and bronchus stump(one case).The remaining 30 patients recovered well.Conclusion PA reconstruction in the patients with central type lung cancer is a safe,and effective surgical technique as alternative to pneumonectomy.This method can ensure more radical resection of lung cancer and maximize preservation of functional pulmonary parenchyma.更多还原