肺癌术后支气管切缘癌的临床分析  

Clinical analysis of microscopic residual disease at the bronchial margin after resection for lung cancer

作　　者：潘铁成[1] 郑智[1] 周涛[1] 汤应雄[1] 李军[1] 严华[1] 陈涛[1] 宋定伟[1] 胡敏[1] 张霓[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院胸心外科,武汉430030

出　　处：《临床外科杂志》2004年第9期552-554,共3页Journal of Clinical Surgery

摘　　要：目的　研究肺癌手术后支气管切缘癌与临床因素的关系。方法　对 114 4例接受肿瘤切除的肺癌患者进行统计 ,分析其中 8项临床因素。结果　 89例发生支气管切缘癌。不同病理类型肺癌其切缘癌的发生率不同 ,小细胞肺癌的切缘癌发生率最高。支气管切缘与肿瘤的距离≥1.5cm时 ,93 .1%的切缘无癌残留。结论　行肺癌切除术时 ,支气管切缘与肿瘤的距离应≥ 1.5cm。Objective To evaluate retrospectively the clinical factors of microscopic residual disease(MRD) at the bronchial margin after lung cancer surgery.Methods 1 144 patients with lung cancer who underwent surgery were studied and 8 clinical factors were analyzed.Results 89 patients suffered from MRD.Among all pathological types,small cell lung cancer was the most frequent one for MRD.A bronchial resection more than 1.5 cm in length from the macroscopic tumor provided clear margins in 93.1% of all cases.Conclusion The length between bronchial margin and tumor should be more than 1.5 cm when undergoing lung cancer surgery.

关 键 词：原发性肺癌 外科治疗 支气管切缘癌 

分 类 号：R734.2[医药卫生—肿瘤]