气管隆凸切除与重建术治疗肺癌87例  

Carinal Resection and Reconstruction in Treatment of 87 Cases with Lung Cancer

作　　者：肖鹏[1] 张晓[1] 

机构地区：[1]洛阳市中心医院,河南洛阳471009

出　　处：《河南科技大学学报（医学版）》2009年第3期179-180,共2页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的探讨气管隆凸切除与重建手术治疗肺癌的方法和疗效。方法回顾分析因肺癌实行气管隆凸切除与重建术87例,其中单纯隆凸切除术9例,右全肺切除及隆凸切除13例,右全肺切除气管支气管成形11例,右全肺袖式切除17例,右上叶切除气管支气管成形术15例,左侧全肺袖式切除术15例,左全肺切除气管支气管成形术7例。其中姑息行手术4例。结果手术近期死亡7例(8.05%)。手术后1、3和5年的生存率分别为53.49%、34.17%和17.05%。结论正确掌握适应证,手术操作精细,术后积极防治并发症是提高手术成功率的重要措施。Objective To summarize the method and effect of carinal resection and reconstruction in the treatment of lung cancer. Methods To retrospectively analyze 87 cases with lung cancer to give the treatment of carinal resection and reconstruction, including 9 cases of carinal resection, 13 cases with right pneumonectomy and carinal resection, 11 cases with right pneumonectomy and bronchoplasty, 17 cases with sleeve right pneumonectomy, 15 cases with carinal resection and reconstruction plus right upper lobectomy, 15 cases with sleeve left pneumonectomy and 7 cases with left pneumonectomy and bronchoplasty. 4 cases were palliatively operated. Results 7 cases（8.05% ） died in the recent postoperative period. The 1,3, and 5-year survival rates after surgery were 53.49% ,34. 17 % and 17.05% ,respectively. Conclusion Accurate selection of patients, a meticulous adherence to surgical precision, and optimal postoperative prevention and treatment of complication are important measures of improvement of surgical successful rates.

关 键 词：肺肿瘤 隆凸切除术 隆凸重建术 

分 类 号：R734.2[医药卫生—肿瘤]