单侧肺循环阻断术在局部晚期非小细胞肺癌中的应用
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Application of transient blocking of both pulmonary artery and veins on locally advanced non-small cell lung cancer
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    摘要:

    目的:探讨单侧肺循环阻断术治疗局部晚期非小细胞肺癌(LANSCLC)的临床应用价值-方法:选择30例行单侧肺循环阻断术的LANSCLC患者作为治疗组,随机选择行单纯肺动脉阻断术的患者30例作为对照组,比较2种手术方法在手术时间-术中出血量-动脉阻断时间-术后并发症方面的差异-结果:治疗组动脉阻断时间-手术时间明显短于对照组,治疗组术中出血量亦明显少于对照组,差异均有统计学意义(P < 0.01)-2组术后并发症发生率为治疗组(6.7%)低于对照组(23.3%),但差异无统计学意义(P > 0.05)-结论:单侧肺循环阻断术为治疗晚期LANSCLC的一种手术方法,缩短了手术时间-降低了出血量-减少了术后并发症,值得临床进一步推广研究-

    Abstract:

    Objective:To explore the clinical value of transient blocking of both pulmonary artery and veins on locally advanced non-small cell lung cancer(LANSCLC). Methods:Thirty cases of patients with LANSCLC using the transient blocking of both pulmonary artery and veins were selected as treatment group. Another 30 cases of patients with blocking of pulmonary artery alone were selected as control group. The operation time,bleeding amount during operation,artery-blocking time and complications after operation between the two groups were compared. Results:The artery-blocking time,operation time in treatment group was obviously shorter than those in control group. The bleeding amount during operation in treatment group was obviously less than that in control group. All of the differences had statistical significant (P < 0.01). The rate of complications after operation in treatment group (6.7%) was obviously lower than that in control group(23.3%). But there was no statistic difference between the two groups(P > 0.05). Conclusion:As a treatment method of LANSCLC,transient blocking of both pulmonary artery and veins can shorten the operation time,reduce the bleeding amount,decrease the complications after operation,and is worth to be popularized in clinical research.

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陈 胜,许 林,蒋 峰.单侧肺循环阻断术在局部晚期非小细胞肺癌中的应用[J].南京医科大学学报(自然科学版),2012,(8):1106-1109

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  • 收稿日期:2012-02-22
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