肺动脉成形重建术治疗非小细胞中心型肺癌49例  

Pulmonary Vascular Reconstruction in Patients with Non-small Cell Central Lung Cancer

作　　者：王荣有[1] 王斌[1] 张兴义[1] 

机构地区：[1]吉林大学第二医院胸外科,长春市130041

出　　处：《中国肿瘤临床》2007年第15期860-861,共2页Chinese Journal of Clinical Oncology

摘　　要：目的:为了提高非小细胞中心型肺癌的手术切除率,减少全肺切除率并获得与全肺切除相同的手术彻底性。方法:用肺动脉成形或同时行支气管成形术治疗Ⅲ期非小细胞中心型肺癌49例,其中鳞癌43例,腺癌6例。左上叶袖状切除21例,右上叶6例,右中上叶22例。结果:本组无手术死亡,术后1例发生支气管胸膜瘘,余48例无并发症,术后1年及3年生存率分别为89%和39%。结论:肺动脉成形重建术的应用最大限度地切除了肿瘤组织,并最大限度地保留了肺功能。Pulmonary Vascular Reconstruction in Patients with Non-small Cell Objective： To increase the resection rate of non-small cell central hmg eancer, reduce the pneumonectomy rates, and to achieve for radical resection Ihe same effect that petnnoneclomy chieves. Methods： Forty-nine patients with non-small cell central lung cancer underwenl vascular reconstruetion. Forty-three of the 49 patients had epidermoid carcinoma and 6 had adenocarcinoma. Vas- cular reeonstruction was performed following left upper lobectomy （n=21）. right upper lobeclomy （n=6）. and right upper-middle lobectomy （n=22）. Results： There was no intraoperative,mortalily. One patient had postoperative bronchopleural fistula, and the others had no postoperative complications. The 1- and 3-year survival rates were 89% and 39%, respectively. Conclusion： Vascular reconstruction after extensive tumor tissue resection to remove non-small cell central lung cancer helps relain maximum pul- mnnary function.

关 键 词：肺动脉重建 非小细胞中心型肺癌 肺功能 

分 类 号：R734.2[医药卫生—肿瘤]