关键词: 肺肿瘤/外科;血管成形术;肺切除术

    摘 要:目的 研究肺叶袖状切除，肺动脉成形术治疗支气管肺癌的疗效. 方法 回顾性总结58例支气管肺癌手术治疗，其中51例行主支气管袖状肺叶切除成形术，7例行主支气管及肺动脉双袖状切除成形术. 结果 4例患者术后1a肿瘤复发，1例术后4a复发，分别再次手术.53例术后随访1，3，5a生存率分别为78%(42/53)，52%(24/46)和47%(16/34). 结论 肺叶袖状切除，肺动脉成形术治疗支气管肺癌既可全部切除肿瘤，又能最大限度保留正常肺组织，改善术后患者的生存质量，远期疗效良好.可作为外科治疗肺癌的常规术式之一.

    Surgical treatment of bronchogenic carcinoma with bronchial sleeve resection and pulmonary artery sleeve resection

    HU Ai-Ming，QIN Bin，LI Yu-Hua

    Department of Thoracic&Cardiac Surgery，Air Force General Hospital of Chinese PLA，Beijing100036，China

    Keywords:lung neoplasm/surgery;angioplasty;pneumonec-tomy

    Abstract:AIM To review the experience of bronchial sleeve resection and pulmonary artery sleeve resection for bron-chogenic carcinoma.METHODS Fifty-eight patients(male38，female20，age range17to72years)were treated surgi-cally from1991to1998.40patients had right upper lobe le-sions，and11left upper lobe lesions.Bronchial sleeve resec-tion and platy were performed in51patients ......