肺错构瘤的外科治疗  

Clinical analysis on surgical treatment of pulmonary hamartomas

作　　者：汪涛[1] 孙玉鹗[1] 

机构地区：[1]解放军总医院胸外科,北京100853

出　　处：《临床军医杂志》2013年第12期1244-1246,共3页Clinical Journal of Medical Officers

摘　　要：目的总结30年手术切除肺错构瘤的经验。方法1980--2010年共226例肺错构瘤患者。肺实质型肿瘤216例，支气管内肿瘤10例。其中肿瘤剥除术103例、肺楔形切除术103例，肺叶切除20例。术后随访3～20年。结果手术死亡1例，其余恢复顺利出院。术中失血量、术后24h引流量、拔除引流管时间等指标侧切口及电视胸腔镜手术均优于常规切口。肺错构瘤切除术后随访未见复发。结论肺错构瘤手术切口宜首选侧切口及电视胸腔镜手术，并行剥除及楔形切除。Objective To summarize the experiences of the surgical treatment for pulmonary hamartomas （PH）. Methods A 30- year clinical history of surgical treatment for 226 patients with PH from 1980 to 2010 was reviewed, including 216 cases of pulmona- ry parenchymal tumors, 10 cases of endobronchial tumors. These 226 patients underwent operations as follows： enueleation （ n = 103 ） , wedge resection （ n = 103） and lobectomy （ n = 20）. Results One postoperative death was encountered. The amounts of blood loss and pleural effusion in 24 hours, days to remove chest tube in patients via lateral thoraeotomy or video-assisted thoracic surgery were better than that via routine incision. No regional recurrence was encountered. Conclusion Enucleation or wedge re- section via lateral thoraeotomy or video-assisted thoracic surgery is recommended.

关 键 词：错构瘤 手术切口 电视胸腔镜 

分 类 号：R734.2[医药卫生—肿瘤]