首页 | 本学科首页   官方微博 | 高级检索  
检索        

支气管袖状切除术治疗中心型肺癌
引用本文:李德闽,景华,常春林,李忠东,胡小南,顾卫东.支气管袖状切除术治疗中心型肺癌[J].医学研究生学报,2004,17(8):711-713.
作者姓名:李德闽  景华  常春林  李忠东  胡小南  顾卫东
作者单位:南京军区南京总医院心胸外科,南京,210002
摘    要:目的:总结分析支气管袖状切除、支气管成形术治疗中心型肺癌的经验。方法:自1982年1月至2001年12月,共行支气管袖状切除成形术94例,临床病理分期:0期2例,Ⅰ期23例,Ⅱ期46例,Ⅲa期19例,Ⅲb期4例。同期行肺动脉袖状切除5例,肺动脉线状切除4例。结果:术后早期支气管胸膜瘘1例(1.06%),经再次行残肺切除、胸廓改形术治愈;发生呼吸衰竭死亡1例(1.06%)。术后随访85例,1、3和5年生存率分别为79%(74/93)、42%(30/72)和25%(14/55)。结论:支气管袖状切除成形术扩大了中心型肺癌的手术指征,术前纤维支气管镜检查及熟悉影像学肺门立体解剖是确立手术方案的根据。

关 键 词:肺癌  支气管成形术  肺动脉成形术
文章编号:1008-8199(2004)08-0711-03
修稿时间:2003年12月17

Bronchopalsty for the treatment of central lung cancer
LI De-min,JING Hua,CHANG Chun-lin,LI Zhong-dong,HU Xiao-nan,GU Wei-dong.Bronchopalsty for the treatment of central lung cancer[J].Bulletin of Medical Postgraduate,2004,17(8):711-713.
Authors:LI De-min  JING Hua  CHANG Chun-lin  LI Zhong-dong  HU Xiao-nan  GU Wei-dong
Abstract:Objective:To report the surgical experience of bronchial sleeve resection for the treatment of central lung cancer. Methods: From January 1982 to December 2001, 94 patients with central lung cancer underwent bronchial sleeve resection, in which pulmonary angioplasty was performed in 9 patients concomitantly, 5 with pulmonary sleeve resection and 4 with pulmonary tangential resection. Results: One patient complicated with bronchial fistula(1.06%) was cured with residual pulmonary resection and thoracoplasty . One died of respiratory failure (mortality 1.06%). Of the 85 cases that followed, the 1-, 3-and 5-year survival rates were 79%, 42 % and 25% respectively. Conclusion: Bronchoplasty extented the surgical indications for central lung cancer with good of life quality. Preoperative bronchoscopy and familiar with pulmonary hilum anatomy are the key to plan the surgical scheme.
Keywords:Lung cancer  Bronchoplasty  Pulmonary angioplasty
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号