前径路肺上沟瘤手术难点——聚焦锁骨下动脉游离及臂丛神经根松解  

Surgical difficulties of superior pulmonary sulcus tumor by anterior approach:focus on dissociation of the subclavian artery and release of brachial plexus nerve

作　　者：周文勇 施建新[1] Zhou Wenyong;Shi Jianxin(Department of Thoracic Surgery,Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China)

机构地区：[1]上海交通大学附属胸科医院胸外科,上海200030

出　　处：《中华胸部外科电子杂志》2022年第3期164-167,共4页CHINESE JOURNAL OF THORACIC SURGERY：Electronic Edition

基　　金：国家自然科学基金(81700092,82170108);上海市科学技术委员会项目(18140903802);上海市卫生和计划生育委员会项目(20174Y0234);中国博士后科学基金会项目(2016M601603)。

摘　　要：肺上沟区域狭小,解剖结构复杂。肺尖部支气管肺癌或其它肿瘤浸润性生长容易侵犯周围血管,神经,骨等组织。本文以肺上沟瘤为例,结合手术发展历程,分析胸廓入口解剖特点,评述颈胸交界处肿瘤手术难点,对未来肺上沟瘤治疗模式进行展望。The anatomical structure of superior sulcus is complex.The invasive growth of lung cancer or other tumors in apex of the lung often invade the surrounding blood vessels,nerves,bone and other tissues.In this review,we take superior pulmonary sulcus tumor as an example to discuss the development of surgery,summarize the thoracic inlet anatomy and surgical difficulties,and prospect the future treatment patterns of superior pulmonary sulcus tumor.

关 键 词：前径路 肺上沟瘤 胸廓入口 锁骨下动脉 臂丛神经 

分 类 号：R734.2[医药卫生—肿瘤]