51例肺中叶病变的诊断及外科治疗  

Surgical Treatment for Middle Lung Lobe Lesions

作　　者：王海军[1] 张力健[2] 杨跃[2] 陈克能[2] 熊宏超[2] 梁震[2] 

机构地区：[1]北京丰台医院胸外科,北京100071 [2]北京肿瘤医院

出　　处：《中国中西医结合外科杂志》2006年第6期531-532,共2页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的：探讨肺中叶病变的诊断及外科治疗方法。方法：51例肺中叶病变良性9例（17．7％），恶性42例（82．3％），术前诊断明确率24．5％。单纯中叶切除占72．5％，合并其他肺叶切除19．6％，肺楔形切除占3．9％，全肺切除3．9％。结果：术后并发症4例（占7．8％）。结论：下列情况应及早手术治疗：中叶恶性病变；中叶病变，尤其中叶不张，不能除外恶性；中叶良性病变致中叶不张，内科治疗2～3周无效者。Objective To study the surgical treatment of the middle lung lobe lesions in the lung Methods Surgical treatment in 51 patients with middle lung lobe lesions was reviewed： benign（17.6%） and malignant（82.7%）. The symptoms included cough, expectoration, chest complaint, fever, but were nonspecific. The preoperative diagnosis indentity rate was 24.5%. Middle lobectomy was done in 72.4%, middle lobectomy combined with other lobectomy in 19.6%, unilateral pneumonectomy in 2.1%. Results Four patients developed complications but with no operative or postoperative death. Conclusion Surgical management should be carried out as early as possible in those lesions of the middle lobe of the lung： （1） malignancy. （2） atelectasis especially caused by a lesion in which malignancy can not be excluded. （3） benign atelectasis but irreversible with medical therapy for 2～3 weeks.

关 键 词：肺中叶病变 诊断 外科治疗 

分 类 号：R655.3[医药卫生—外科学] R563[医药卫生—临床医学]