上腔静脉置换术在胸腔肿瘤中的应用  

Replacement of Superior Vena Cava in the Treatment of Chest Tumor

作　　者：朱鹏志[1,2] 王平[1,2] 桂龙生[1,2] 李永武[1,2] 彭浩[1,2] 熊健[1,2] 

机构地区：[1]昆明医学院附属昆华医院 [2]云南省第一人民医院胸心外科,云南昆明650032

出　　处：《昆明医学院学报》2011年第4期53-55,共3页Journal of Kunming Medical College

摘　　要：目的探讨和总结上腔静脉置换治疗晚期胸腔恶性肿瘤的临床经验,并评价其疗效.方法回顾性分析5例上腔静脉受到肿瘤侵犯患者的手术经验.其中局部晚期肺癌3例、侵袭性胸腺瘤2例.术中行原发肿瘤和受累上腔静脉全部切除并重建上腔静脉.结果全组无手术死亡及术后早期死亡,无严重并发症.结论对于无远处转移、侵犯上腔静脉的局部晚期恶性肿瘤,采用包括上腔静脉置换在内的扩大切除术,可以提高手术切除率,缓解临床症状,延长生存期.Objective To evaluate and summarize the clinical experience of the vessel resection and reconstruction in surgical management of malignant superior vena cava syndrome（SVCS）.Methods Five patients with SVC being invaded by tumors were included and analyzed retrospectively in this study.Among them locally advanced lung cancer was in three cases,invasive thymoma in two cases.The primary tumor was totally resected in all patients.Replacement of SVC with Gore-Tex vascular prosthesis was performed in all patients.Result All of the cases had no intraoperative and early postoperative death and complications.Conclusion For local advanced malignant tumors invading superior vena cava without distant metastasis,expanded resection including replacement of superior vena cava with artificial blood vessel can raise operative excision rate,relieve clinical symptoms and increase the survival rate time.

关 键 词：上腔静脉综合征 胸部肿瘤 侵袭性胸腺瘤 肺癌 

分 类 号：R732[医药卫生—肿瘤]