支气管、肺动脉、气管隆凸成形术治疗中央型肺癌
肺癌；,支气管成形术；,肺动脉成形术；,气管隆凸成形术,,肺癌；,支气管成形术；,肺动脉成形术；,气管隆凸成形术,1资料与方法,2结果,3讨论,参考
摘要：目的：探讨中央型肺癌行支气管、肺动脉、气管隆凸成形术的可行性和效果。方法：对116例中央型肺癌患者行支气管、肺动脉、气管隆凸成形术，其中对61例采用支气管或肺动脉成形术，5例采用隆凸、支气管成形术，50例采用支气管肺动脉双袖状成形术。结果：术后患者的1、3、5、10年生存率分别为90.7%(98/108)、61.2%(49/80)、41.2%(14/34)、25%(2/8)。发生手术并发症19例(19/116，16.4%)，死亡2例 (2/116，1.7 %)。结论：对中央型肺癌选择肺叶或全肺切除同时进行支气管、肺动脉、气管隆凸成形术能有效清除病灶，并能最大限度地保留健康肺组织，有利于延长患者的生存期。关键词： 肺癌； 支气管成形术； 肺动脉成形术； 气管隆凸成形术
Bronchoplasty tracheocarinal and vascular reconstruction in the treatment of lung cancer
ZHANG Guoqing， PANG Zuoliang， WU Bin， et al
(Department of Thoracic Surgery, Affiliated Tumor Hospital, Xinjiang Medical University,Urumqi 830011， China)
Abstract: Objective: To explore the feasibility and result of operation such as tracheocarinal reconstruction, bronchoplasty and vascular reconstruction in selected patients with centrally located lung cancer. Methods: Tracheocarinal reconstuuction and bronchoplasty were performed in 5 cases, pulmonary arterioplasty and double sleeve resection were performed in 61 cases and 50 cases respectively, from Mar,1994 to Mar, 2004. Results: Postoperative complications occurred in 19 patients(16.4%) and operative death ouccurred in 2 cases(1.7%). The 1, 3, 5 and 10 year survival rate were 90.7%(98/108), 61.2%(49/80); 41.2%(14/34) and 25%(2/8), respectively. Conclusion: Bronchoplasty ......
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