肺癌侵犯上腔静脉12例外科治疗  

Surgical Management for Lung Cancer Involved Superior Vena Cava in 12 Cases

作　　者：何立峰[1] 

机构地区：[1]宁波市第二医院,浙江宁波315010

出　　处：《肿瘤学杂志》2006年第2期133-135,共3页Journal of Chinese Oncology

摘　　要：[目的]观察上腔静脉置换或部分切除术治疗肺癌侵及上腔静脉患者的效果。[方法]2001年3月～2004年3月行上腔静脉置换或部分切除术治疗肺癌侵犯上腔静脉患者12例,其中行肺癌切除、受侵上腔静脉切除、人工血管置换8例;上腔静脉部分切除、自体心包修补术2例;上腔静脉侧壁部分切除血管缝合成形术2例。[结果]无术中及术后早期死亡,无术后近远期上腔静脉及人工血管血栓形成,无梗阻症状发生。4例术后生存12～24个月,6例目前仍健在,最长已生存44个月。[结论]肺切除合并受侵的上腔静脉切除重建术能明显提高患者的生存率,改善患者的生存质量。[Purpose]To investigate the effect of superior vena cava （SVC） replacement or partial resection for the treatment of lung cancer involved superior vena cava （SVC）. [Method] From March 2001 to March 2004,SVC replacement or partial resection were carried out in 12 patients with lung cancer involved SVC. The operations included lung cancer resection and SVC resection,and replacement with artificial vascular in 8 cases;partial SVC resection and reconstruction with autologous pericardial graft patching in 2 cases; partial SVC resection and angioplasty in 2 cases. [Results] No perioperative death, no thrombosis in SVC and in artificial vascular and no obstruction of SVC were found. Four patients died 12-24 months postoperation, 6 patients were still alived so far. The longest survival was 44 months.[Conclusion]Pneumonectomy combined with extended resection and reconstruction of SVC in the surgical treatment for lung cancer involved SVC can increase the longterm survival and improve the life quality of the patients.

关 键 词：肺肿瘤 外科学 上腔静脉综合衙 血管成形术 腔静脉 上 

分 类 号：R734.2[医药卫生—肿瘤]