上腔静脉成形术治疗肺癌致上腔静脉综合征11例分析

[目的]观察上腔静脉成形术治疗肺癌局限侵犯所致上腔静脉综合征的临床效果.[方法]11例肺癌所致的上腔静脉综合征患者,切除受侵的上腔静脉壁,然后用心包片修补上腔静脉缺损成形.[结果]所有患者解除了上腔静脉综合征,生存期达9～26个月,平均生存18个月.[结论]局限受侵的上腔静脉综合征肺癌患者,可以通过手术方法治疗,改善了晚期肺癌病人的生活质量并使其生存期延长.

Analysis of Superior Vena Reconstruction for Superior Vena Caval Syndrome Caused by Lung Cancer

To investigate the clinical effect of superior vena reconstruction on superior vena caval syndrome (SVCS) caused by lung cancer. Eleven cases of SVCS caused by lung cancer were treated by superior vena partial resection and reconstruction. All symptoms of SVCS were relieved. The survival time were 9 to 26 months, and mean survival time were 18 months. [Conclusion] SVCS with localized invasion in lung cancer patients maybe treated by superior vena partial resection and reconstruction. It improves quality of life and prolongs survival in patient with advanced lung cancer.