肺癌术后复发再切除14例分析

目的：探讨肺癌术后复发再切除术的疗效、手术适应症和手术要点。方法：回顾分析1995年1月至2007年12月我院进行的余肺切除术14例的临床资料。结果：本组患者均无手术死亡。术后发生并发症7例,其中3例患者出现心律失常,2例肺部感染,1例心力衰竭,1例中度贫血。术后1、3、5、年生存率为75．12％、31．18％、28．73％。结论：严格掌握余肺切除术的适应症,对于合适的患者而言,可获得较好的远期生存。

Analysis on 14 Cases of Re-excision of Recurrent Lung Cancer

Objective: To explore the prognosis,indications and mainpoints of operatiaon for re-excision of recurrent lung cancer.Methods:Clinical data of 14 cases with recurrent lung cancer underwent completion pneumonectomy from January 1995 to December 2007 were analyzed retrospectively.Result:Morbidity were seen in 7 cases(3 cardiac arrhythmia.2 pneumonia.1 Cardiac insufficiency.1 midrange anemia).The 1,3,5-year survival rate was 75.12%,31.18%,28.73% respect ively.Conclusion: By controlling operation inditions strictly,favorable long term survival can be achieved for the patients suffered from completion pneumonectomy.