气管支气管成形术在肺癌治疗中的应用  

Broncholasty and Tracheo-carinal Reconstruction in the Treatment of Lung Cancer

作　　者：潘琪[1] 茅乃权[1] 刘德森[1] 左传田[1] 黄鼎铭[1] 

机构地区：[1]广西医科大学附属肿瘤医院胸外科,广西南宁530021

出　　处：《西部医学》2013年第6期883-884,共2页Medical Journal of West China

摘　　要：目的探讨气管、支气管成型术治疗肺癌的手术适应证、手术方法、术后并发症及临床疗效。方法总结1988年6月～2009年4月采用气管、支气管成型术治疗的112例肺癌患者的临床疗效,并对其安全性及并发症等进行分析。结果术后7例并发肺部感染、肺不张,且2例因心肺功能衰竭而死亡;出现心律失常3例。全组患者术后1、3、5年生存率分别为81.9%(86/105例)、54.5%(36/66例)和39.6%(19/48例)。结论气管、支气管成形术可使部分高龄及肺功能不全的肺癌患者获得外科手术机会,在根除病变的同时改善术后生活质量,有利于延长生存期。Objective To assess the value of bronchoplastic procedures in surgical treatment for bronchogenic car- cinoma and to explore the appropriate admission and management of trachea-bronchoplasty and prevent complications of trachea-bronchial sleeve resection in the treatment of centrally located lung cancer. Methods From June 1988 to April 2009, lobeetomy combined with extended resection of tracho-carcine or broonchus were performed in 112 patients with centrally located lung cancer. Results Postoperative complications happened in 13 patients. Pneumonia and atelectasis occurred in 7 cases, in which 2 died of heart and respiratory failure. The 1-, 3-, S-year survival rat was 81.9% （86/105）, 54.5%（36/66） and 39.6%（19/48） respectively. Conclusion Bronchopastic procedures for bronchogenic carcinoma ex- tends operative indication to some patients with complication rates comparesble to pneumonectomy and improve life quality.

关 键 词：气管、支气管成形术 肺癌 手术治疗 

分 类 号：R734.2[医药卫生—肿瘤]