支气管肺动脉联合成形术治疗左肺动脉受累肺癌16例  

Bronchoplasty and pulmonary artery reconstruction for 16 cases lung cancer of the left pulmonary artery affected

作　　者：王家利[1] 韩典慧 昂春臣[1] 

机构地区：[1]山东省滕州市中心人民医院胸心外科,277500 [2]枣庄市肿瘤医院胸外科

出　　处：《肿瘤研究与临床》2009年第1期49-50,共2页Cancer Research and Clinic

摘　　要：目的探讨支气管肺动脉联合成形术治疗左肺动脉受累肺癌的疗效。方法自1990年1月至2004年12月，采用支气管肺动脉联合成形术治疗左肺动脉受累肺癌16例，均为ⅢA期，其中支气管均完全袖式切除；肺动脉干袖式切除11例，侧壁切除5例。结果术后1、3、5年生存率分别为75．0％、45．5％、33.3％。结论应用支气管肺动脉联合成形术治疗肺动脉受累肺癌，减少了全肺切除术的应用，特别是对于肺功能较差、高龄患者扩大了手术适应证，改善了术后生活质量，在临床上有应用价值。Objective To investigate the effectiveness and the surgical experience of bronchoplasty and pulmonary artery reconstruction in the treatment of lung cancer of the left pulmonary artery affected. Methods From January, 1990 to December, 2004, 16 patients with lung cancer of the left pulmonary artery affected underwent bronchoplasty and pulmonary artery reconstruction. According to TNM classification, 16 patients were in stage ⅢA. The surgical procedures included sleeve resection of bronchus in 16 cases, sleeve resection of pulmonary artery in 11 and wedge resection of pulmonary artery in 5. Results The overall 1, 3 and 5-year survival rates were 75.0 %, 45.5 %, and 33.3 % respectively. Conclusion The results suggest that bronchoplasty and pulmonary artery reconstruction for the patients with lung cancer of pulmonary artery affected is an effective surgical technique. This method extends the surgery indications to patients with poor lung function and senility by reducing the ratio of pneumonectomy and improving postoperative quality of life. Therefore, it is clinically valuable.

关 键 词：肺肿瘤 肺切除术 支气管成形术 肺动脉成形术 

分 类 号：R734[医药卫生—肿瘤]