心包内处理肺血管治疗中晚期肺癌57例手术体会  

Treatment of advanced lung cancer with intrapericardial pneumonectomy(Analysis of 57 cases)

作　　者：钱卫平[1] 吴斌[1] 徐林友[1] 

机构地区：[1]黄山市人民医院胸外科,245000

出　　处：《岭南现代临床外科》2010年第3期207-208,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的总结心包内处理肺血管全肺切除术或肺叶切除术治疗中晚期肺癌的经验。方法回顾性分析1996年至2006年期间,57例因中晚期肺癌接受心包内处理肺血管全肺切除术或肺叶切除术患者的临床资料。结果全组患者无手术死亡,术后出现心律失常7例,肺水肿3例,肺部感染2例,均治愈。术后获得随访52例,随访率91.2%,随访时间1～5年。术后1,3,5年生存率分别为44.2%、17.3%和11.5%。结论掌握好适应证,心包内处理肺血管全肺切除术或肺叶切除术是一种安全可靠的手术方法,可明显提高中晚期肺癌的肿瘤切除率和手术安全性。Objective To evaluate the clinic efforts on intrapericardial pneumonectomy in the treatment of advanced lung cancer.Methods The inpatient data of 57 cases that accepted intrapericardial pneumonectomy for the treatment of advanced lung cancer were retrospective analyzed.Results There was no perioperative death,and the cardiac arrhythmia appeared in 7 cases,pneumonedima in 3 cases,and pulmonay infection in 2 cases after operation.Postoperative follow-up was got in 52 cases,Follow-up rate was 91.5% and Follow-up time ranged from 1 year to 5 years.1-,3-and 5-year survival rates were 44.2%,17.3% and 11.5%,respectively.Conclusion Treatment of advanced lung cancer with intrapericardial pneumonectomy is effective and safe,which can increase the resectability rate and improve the patients’ prognosis.

关 键 词：肺癌 心包内肺切除术 外科治疗 

分 类 号：R734.2[医药卫生—肿瘤]