非小细胞肺癌术后支气管切缘癌相关因素分析  

Study on correlated factors of cancer at bronchial resection margin after surgical resection of non-small cell lung cancer

作　　者：张竞[1] 王云喜[1] 梁朝阳[1] 云天阳 初向阳[2] 

机构地区：[1]解放军总医院海南分院胸外科,三亚572013 [2]解放军总医院医院胸外科,北京100853

出　　处：《中华肺部疾病杂志（电子版）》2016年第2期175-177,共3页Chinese Journal of Lung Diseases(Electronic Edition)

摘　　要：目的探讨肺癌手术后支气管切缘癌与临床因素的关系。方法收集解放军总医院海南分院胸外科2013年8月至2015年3月行手术治疗的815例原发性非小细胞肺癌患者的病例资料,对性别、年龄、病理类型、是否存在淋巴结转移、TNM分期、解剖学类型及手术方式7项指标进行统计分析。结果在815例非小细胞肺癌患者中,24例患者发生支气管切缘癌;组织学类型为鳞癌18例、淋巴结转移N2 16例及解剖学类型为中央型肺癌20例是术后支气管切缘癌发生的主要高危因素。结论对有高危因素存在的患者,术中应行支气管残端冷冻切片病理检查。Objective To explore the correlation between cancer at bronchial resection margin and clinical factors. Methods A retrospective analysis of clinical data of 815 cases who had undergone surgical resection of primary non-small cell lung cancer was conducted in Department of Thoracic Surgery from August2013 to March 2015. The statistic analysis was done to study the relation ofseven parameters（ gender,age,pathological type, lymph node metastasis, TNM stage, anatomic type and surgical approach） with the occurrence of cancer at bronchial resection margin. Results In 815 non-small cell lung cancer cases,cancer occurred at bronchial resection margin in 24 cases. Histologically proven squamous cancer（ 18 cases） and lymph node metastasis（ N2 16 cases）,and central lung cancer（ 20 cases） confirmed anatomically are the main correlated factors to cancer at bronchial resection margin after surgical resection of non-small cell lung cancer.Conclusion To the patients of high risk factors,it is necessary to do an intraoperative frozen section examination of bronchial resection margin.

关 键 词：非小细胞肺癌 外科治疗 支气管切缘癌 

分 类 号：R734.2[医药卫生—肿瘤]