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肺叶加支气管袖状切除治疗中央型肺癌——附59例报告
引用本文:吴哲凡,林道平,杨运有,韩淦同.肺叶加支气管袖状切除治疗中央型肺癌——附59例报告[J].广州医学院学报,1990(2).
作者姓名:吴哲凡  林道平  杨运有  韩淦同
作者单位:广州医学院第一附属医院胸外科,广州医学院第一附属医院胸外科,广州医学院第一附属医院胸外科,广州医学院第一附属医院胸外科
摘    要:作者自1978年7月至1987年5月施行肺叶加支气管袖状切除术治疗中央型肺癌共59例。男40例,女19例;年龄自17~72岁,平均年龄49岁,60岁以上者18例。手术方式:右上肺叶袖状切除31例;左上叶20例;右中下叶4例;左下叶4例。无手术死亡及术后无并发症.手术一年以内11例,生存10例;手术一年以上14例,生存11例;手术二年以上11例,生存8例;手术三年以上16例,生存10例;手术五年以上7例,生存4例.死亡原因:肺内或纵隔淋巴结复发8例;脑转移5例;肺部感染1例.

关 键 词:肺叶加支气管袖状切除  鳞状细胞癌  腺癌  未分化癌

Lobectomy and Sleeve Resection of Bronchus for Central Pulmonary Carcinoma(Report of 59 Cases)
Wu Zhefan.Lobectomy and Sleeve Resection of Bronchus for Central Pulmonary Carcinoma(Report of 59 Cases)[J].Academic Journal of Guangzhou Medical College,1990(2).
Authors:Wu Zhefan
Institution:Wu Zhefan Department of Thoracic Surgery,First Affiliated Hospital
Abstract:For centrally located lung cancers,sleeve lobectomy can eradicate the lesions to a maximal extent and impair the lung function to a minimal ex- tent.This report includes 59 cases:40 males and 19 females.Age ranged from 17 to 72,average 49(18 were above 60 years of age). Type of operation,righh upper sleeve lobectomy 31;left upper 20;left lower 4;right middle 2 and right lower 2 cases. Results:none died within one month postoperatively.Followup data:4/7 eases lived above 5 years already;10/16 above 3 years;8/11 2-3 years;11/14 above 1 year;10/11 lived after operations less than 1 year.Causes of death, local recurrence 8 cases;cerebral metastasis 5;and respiratory failure after lung infectio 1.
Keywords:lobectomy and sleeve resection of bronchus  squamous cell carcinoma  adeno carinoma  undiffenriateel carcinoma
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