| 肺癌术后再次肺切除临床分析 |
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| 引用本文： | 方友平,李士亭,谈进,倪耀军.肺癌术后再次肺切除临床分析[J].现代预防医学,2011,38(15):3107-3108. |
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| 作者姓名： | 方友平 李士亭 谈进 倪耀军 |
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| 作者单位： | 南京医科大学附属淮安第一医院胸心外科,淮安,223300 |
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| 摘 要： | 目的]探讨肺癌术后再次肺切除的临床价值。方法]回顾7例肺癌术后患者再次手术治疗的临床资料,分析手术难度及术后恢复情况并总结治疗经验,随访分析全组病例生存情况。结果]7例肺癌术后患者均为完全切除病灶,无术中及围术期死亡。7例胸膜腔粘连均严重,尤其肺门处肿瘤生长、浸润严重,3例患者肺门大血管破裂出血500ml以上。手术时间和术中出血量明显超出初次手术(P=0.000)。术后发生心、肺功能不全各1例,短期支气管胸膜瘘、伤口感染各1例。全组1年、2年生存率分别为50.0%和16.7%。结论]虽然肺部肿瘤再次手术的难度和风险增大,但其成功率仍然很高,只要掌握好手术指征,再次手术仍然能够获得满意疗效。
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| 关 键 词： | 肺肿瘤 肺切除 |
ANALYSIS OF RE-EXCISION IN LUNG CANCER AFTER THE FIRST OPERATION |
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| FANG You-ping,LI Shi-ting,TAN Jin,et al..ANALYSIS OF RE-EXCISION IN LUNG CANCER AFTER THE FIRST OPERATION[J].Modern Preventive Medicine,2011,38(15):3107-3108. |
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| Authors: | FANG You-ping LI Shi-ting TAN Jin |
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| Institution: | FANG You-ping,LI Shi-ting,TAN Jin,et al.(Department of Thoracic and Cardiothoracic Surgery,Huai’an First Hospital Affiliated to Nanjing Medical University,Huai’an 223300,China) |
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| Abstract: | Objective]To investigate the value of re-excision in lung cancer after the first operation.Methods]Reviewed the clinical records of 7 cases with lung cancer who had all undergone lobectomy. Analysed the difficulties in operation and postoperative restoration,and summarized treatment experiences.Results]All cases received complete excision of tumors,and none of these cases died in operation procedure or during perioperation.Pleural adhesion was serious in 7 cases,especially to hilum of lung with serious t... |
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| Keywords: | Lung neoplasm Pneumonoresection |
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