重度低肺功能肺癌的外科治疗  

Surgical treatment of lung cancer in patients with severe low pulmonary function

作　　者：徐建勋[1] 张庆基[1] 黎毅仁[1] 周云生[1] 蔡炜[1] 

机构地区：[1]上海市徐汇区中心医院胸外科,200031

出　　处：《江苏医药》2006年第5期421-422,共2页Jiangsu Medical Journal

摘　　要：目的探讨重度低肺功能肺癌患者围手术期安全性及疗效。方法35例肺癌患者术前肺功能检查最大通气量占预计值(MVV%)均低于50%,手术治疗并随访5年。结果术后并发症总发生率54·3%,无一例手术死亡。术后1、2、3、5年生存率分别为71·4%、42·86%、37·14%、17·14%。结论低肺功能肺癌患者手术风险大、术后并发症发生率高,但有选择开展这类患者手术治疗、加强围手术期处理,能安全度过围手术期,改善生存质量,亦可获得良好的近、远期治疗效果。Objective To evaluate the effect and safety of surgical treatment for lung cancer in the patients with severe low pulmonary function. Methods Thirty-five patients with preoperative MVV%≤50% underwent surgical treatments and then were followed up for 5 years. Results 54. 3 % of patients had various compliations postoperatively, but there was no mortality and 1,2,3 and 5-year postoperative survival rates were 71.4%, 42. 86%, 37. 14% and 17. 14%, respectively. Conclusion Although the risk of operation was very high in these patients,we consider that the operations could be done successfully by selecting the cases properly,operating adequately, and perioperatire treating sufficiently with better early outcome and quality of life.

关 键 词：肺癌 低肺功能 手术 

分 类 号：R734.2[医药卫生—肿瘤] R714.246[医药卫生—临床医学]