侵及肺血管肺癌的手术方法分析

目的探讨一种新的更为安全的肺血管受肿瘤侵犯或紧密粘连,导致肺癌手术困难时提高手术切除率的方法。方法选择适当患者,术中游离肺动、静脉主干,绕10号丝线套橡皮管阻断后再进行肺肿瘤的切除与肺血管的处理,使手术在一种无血状态下进行。结果全组手术切除率达100%,72%的患者未输血,1例出现急性肺水肿,2例出现急性心律失常,全组患者均康复出院。结论应用套线阻断控制肺动、静脉主干的方法对侵及肺血管肺癌的患者手术具有简便、安全、最大限度清除肿瘤等优点,可明显地减少手术出血,提高肿瘤切除率。

Analysis on surgery method of pulmonary vascular invasion in lung cancer

Objective To investigate the more safety method of surgical approach to lung cancer with pulmonary vascular invasion and adhesion. Methods Choose suit region first,cut pericardium and do less exploratory separation,ligated artery and vein with 10 # single line at begin,then give an outer operation. Results The operation success rate was 100%. No surgery transfusion was 72%. Without one acute pulmonary edema and two arrhythmia,there was no operative mortality. Conclusion To later central lung cancer patients, a pretreatment block artery and vein of lung before apart can effectively increase cutting rate, reduce bleeding and increase safety.