支气管、肺血管成形术治疗中心型肺癌36例临床分析  

Sleeve resection and plasty of bronchus and plumonary atery in the treatment of central type lung cancer:Report 36 cases

作　　者：李玮[1] 苏祖栋[1] 郭祥云[1] 

机构地区：[1]福建中医学院附属人民医院外科,350004

出　　处：《福建医药杂志》2004年第4期29-30,共2页Fujian Medical Journal

摘　　要：目的　回顾分析我院自 1993年 1月～ 2 0 0 3年 6月 36例气管、支气管、肺血管成形术肺叶切除术治疗中心型肺癌诊疗经过 ,重点讨论术式选择及术中注意事项 ,总结经验。方法　术式包括支气管楔状成形肺叶切除术 17例、支气管袖状肺叶切除术 10例、隆突成形一侧全肺切除 2例、支气管肺血管双成形术 7例。结果　 36例中除 1例术后死于呼吸衰竭外 ,其余病人恢复良好 ,无严重并发症发生。结论　支气管肺血管成形术最大限度保存了正常肺功能 ,扩大了手术适应症 ,而手术死亡率及并发症没有显著提高。Objective To review the surgical experience of sleeve resection and plasty of bronchus and pulmonary atery in the treatment of central type lung cancer.Methods Thirty-six patients with lung cancer were treated surgically from January 1993 to June 2003.There were 30 men and 6 women with mean age of 56.5 years (range 23 to 75 years).The surgical procedures included wedge resection in 17,sleeve resection of bronchus in 10,carinal plasty in two and plasty of bronchus and pulmonary atery in seven.Result There was one postoperative death with a mortality of 2.77%(1/36).The cause of death was respiratory failure.Conclusion The use of aforementioned procedures in patients with lung cancer,particularly in advanced ones with poor lung function,can be performed with no significant increase in operative morbidity or mortality.The procedures alllow sleeve resection and plasty of any lobe or the main bronchus and thus maximize preservation of functional pulmonary parenchyma.

关 键 词：成形术 支气管肺 肺血管 治疗中 中心型肺癌 肺叶切除术 并发症 总结经验 结论 最大 

分 类 号：R734.2[医药卫生—肿瘤]