原发性支气管肺癌外科治疗的临床分析

目的分析原发性支气管肺癌的外科治疗效果，预防和减少术后并发症，提高患者的生活质量。方法对548例原发性支气管肺癌进行手术治疗，其巾左全肺切除术35例（6．4％），有全肺切除术16例（2．9％），肺叶切除术385例（70．3％），袖式肺叶切除术42例（7．6％），肺部分切除术54例（9．8％），剖胸探查术16例（2．9％）。结果术后并发症36例，肺不张25例，胸腔感染11例，无支气管胸膜瘘和乳糜胸，平均住院时间（12．6±3．5）d，术后无患者死亡。结论肺癌治疗以手术为首选，完善的术前检查及恰当的手术方式可提高肺癌疗效，对肺癌术后患者行术后化疗可延长患者生存期。

Clinical Analysis of Surgical Treatment for Lung Cancer Patients

To explore the effects in the surgical treatment of patients suffering from lung cancer,prevent and reduce postoperative complications and prolong the life of patients.Methods 548 cases received operation for lung cancer,of which 35 left total pneumo-nectomy(resection rate 6.4%),16 right total pneumonectomy(resection rate 2.9%),385 lung lobectomy(resection rate,70.3%),42 lung sleeve lobectomy(resection rate,7.6%),54 pneumonoresection(resection rate 9.8%),16 exploratory surgery(2.9%).Results Postoperative co...