外科手术治疗侵犯心脏大血管的局部晚期肺癌  

Surgical treatment for locally advanced lung cancer invading heart and great vessels

作　　者：许林[1] 袁方良[1] 俞明锋[1] 邱宁雷[1] 刘建良[1] 蒋明[1] 黄建峰[1] 范朝晖[1] 胡振东[1] 陆欣欣[1] 

机构地区：[1]江苏省肿瘤防治研究所/江苏省肿瘤医院胸外科,南京210009

出　　处：《中国肺癌杂志》2002年第6期408-410,共3页Chinese Journal of Lung Cancer

摘　　要：目的　总结外科手术治疗侵犯心脏大血管的局部晚期肺癌的经验。方法　回顾性分析我科1980～ 2 0 0 1年 118例侵犯心脏大血管肺癌的外科治疗资料。结果　 118例患者中左心房及左心耳部分切除术3 8例 ,肺动脉成形术 48例 ,上腔静脉置换或部分切除 2 5例 ,肺动脉圆锥部分切除 3例 ,自体肺叶再植 4例。全组无手术死亡 ,本组 1年生存率为 72 .68% ,3年生存率为 5 5 .2 0 % ,5年生存率为 2 8.62 % ,10年生存率为2 0 .3 6%。结论　外科手术治疗侵犯心脏大血管的局部晚期肺癌 。Objective To summarize the surgical treatment for locally advanced lung cancer invading heart and great vessels. Methods One hundred and eighteen cases of lung cancer accepting cardiovascular plasty operation from 1980 to 2001 were reviewed. Results The operations included partial resection of left atrium in 38 cases, pulmonary artery resection and restruction in 48 cases, replacement or partial resection of superior vena cava in 25 cases, partial resection of pulmonary conus in 3 cases, and lober replantation in 4 cases respectively. There was no perioperative death, and the 1 , 3 , 5 and 10 year survival rate was 72.68%, 55.20%, 28.62% and 20.36% respectively. Conclusion Cardiovascular plasty in the surgical treatment of locally advanced lung cancer invading heart or great vessels can remarkably increase the long term survival and improve the life quality of the patients.

关 键 词：侵犯心脏大血管的局部晚期肺癌 肺肿瘤 外科治疗 心脏大血管成形 

分 类 号：R734.2[医药卫生—肿瘤]