肺癌合并胸膜转移外科治疗32例  

作　　者：尹海军 

机构地区：[1]广东省河源市人民医院,517000

出　　处：《当代医学》2010年第19期22-23,共2页Contemporary Medicine

摘　　要：目的探讨肺癌合并胸膜转移患者手术方法,总结治疗体会。方法回顾性分析我院2000年1月～2010年1月收治的肺癌合并胸膜转移患者的临床资料,其中10例心肺功能差的老年患者采用选择性胸膜肺切除术;22例心肺功能较好的患者采用胸膜全肺切除术。探讨手术注意事项,总结治疗体会。结果在围手术期无死亡病例,无支气管胸膜瘘、大出血等严重并发症。随访已有5例死亡病例,死亡原因为远处转移,无局部肿瘤复发。结论根据患者病情选择恰当的手术方式能减少并发症和肿瘤复发,延长患者生存时间。Objective To investigate the operation method of patients with lung cancer pleural metastasis and summarize treatment experience. Methods Clinical data of cases with lung cancer pleural metastasis came to our hospital during 2008.1～2010.1 was analyzed retrospectively.Ten gerontal patients with bad cardio-pulmonary function accepted selected pleuro-pneumonectomy.22 cases with good cardio-pulmonary function accepted pleuro-pneumonectomy.To discuss the point of operation and summarize operation experience.Results There were no died patient during perioperative period. There were no bronchopleural fistula, haemorrhage etc.There were 5 died cases,who died from metastasis.No cancer recrudesced. Conclusion Proper modus operandi according to patients＇ condition can reduce complication , cancer recrudesce and lengthen patient＇s survival time.

关 键 词：肺肿瘤 胸膜全肺切除 选择性胸膜肺切除术 胸水 

分 类 号：R734.2[医药卫生—肿瘤]