外科治疗原发性支气管肺癌362例临床分析

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362例原发性支气管肺癌进行手术治疗,其中左全肺切除术20例(5.52%),右全肺切除术9例(2.49%),肺叶切除术255例(70.44%),袖式肺叶切除术23例(6.35%),肺部分切除术35例(8.56%),剖胸探查术24例(6.63%)。结果术后并发症20例,肺不张13例,胸腔感染17例,无支气管胸膜瘘和乳糜胸,平均住院时间(12.4±3.8)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。

The Clinical Analysis of Surgical Treatment for 362 Cases Lung Cancer Patients

Objective To explore the effect of the surgical treatment on patients suffering from lung cancer, prevent end reduce postoperative complications and improve the quality of life of parents. Methods 362 cases of lung cancer received operation, of which 20 left total pneumonectomy（resection rate5.52%）, 9 right total pneumonectomy（resectionrate2.49% ）,2251unglobectomy（resectionrate 70.44 % ）,23 lung sleeve lobectomy（resection rate 6.35 % ）, 31 pneumonoresection（ resection rate 8.56%）, 24exploratory surgery（6.63% ）.Results postoperative complications were found in 20cases, of.which 13 pulmonary atelectasises,7 pleural infections, no brunchopleural fistula and chylothorax, the average hospital days were （12.4±3.8）d. Conclusion The operation was the best choice for lung cancer patient. Full preoperative preparations with appropriate time and procedure was considered to prolong the life of patients.