支气管楔形成形术在肺癌根治术中的应用  

Application of bronchial wedge plasty on radical resection of lung carcinoma

作　　者：李海波[1] 邓建华[2] 任光国[3] 肖波[3] 方强[3] 

机构地区：[1]广西医科大学研究生学院,广西530021 [2]都江堰市医疗中心,四川611830 [3]四川省肿瘤医院胸外科,四川610041

出　　处：《中华肺部疾病杂志（电子版）》2012年第6期24-26,共3页Chinese Journal of Lung Diseases(Electronic Edition)

摘　　要：目的探讨支气管楔形成形术在肺癌治疗中的疗效。方法回顾性分析96例支气管楔形成形术治疗肺癌的临床资料,并分析了围手术期病死率、支气管残端癌细胞阳性率、支气管吻合口瘘发生率。结果 96例支气管楔形成形术患者无围手术期死亡,无支气管吻合口瘘发生,7例出现支气管残端癌细胞阳性。结论支气管楔形成形术根治肺癌是安全可行的,不仅能最大限度地保留正常肺组织,还能降低术后并发症,并且为部分肺功能差的患者提供了手术切除肿瘤的机会。Objective To discuss the efficacy of bronchial wedge plasty in treatment of lung carcinoma. Methods The clinic data of bronchial wedge plasty in 96 cases were analyzed retrospectively, analyzing respectively perioperative mortality, the positive rates of carcinoma cells on bronchial edges and the incidence of the fistulas on the anastomotic sites. Results No cases suffered from death during perioperation in 96 patients with bronchial wedge plasty, no ease underwent the fistulas on the anastomotie sites, 7cases residued carcinoma cells on bronchial edges. Conclusion Bronchial wedge plasty is safe and feasible to remove lung carcinoma, it can not reserve functional pulmonary parenchyma as much as possible and decrease postoperative complications, but also provide an operative opportunity for some patients with poor functional pulmonary in the treatment pulmonary carcinoma.

关 键 词：支气管肺癌 支气管楔形成形术 外科治疗 

分 类 号：R734.2[医药卫生—肿瘤]