文章摘要
孙 明,魏静义,史敏科.中央型肺癌手术治疗体会(附78例报告)[J].南京医科大学学报,2006,(11):1103~1105
中央型肺癌手术治疗体会(附78例报告)
Surgery treatment for 78 cases of central lung cancer
投稿时间:2006-05-19  
DOI:10.7655
中文关键词: 肺肿瘤  中央型肺癌  支气管袖状肺叶切除术
英文关键词: lung neoplasms  central lung cancer  bronchial sleeve resection
基金项目:
作者单位
孙 明 南京大学医学院附属鼓楼医院胸心外科江苏 南京 210008 
魏静义  
史敏科  
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中文摘要:
      目的:总结采用以支气管袖状成形肺叶切除术为核心的多种切除重建术式治疗78例中央型肺癌的临床疗效。方法:1988 年6月至2005年6月,对78例中央型肺癌患者施行以支气管袖状成形肺叶切除术为核心的多种切除重建手术。支气管环状切除成形及支气管袖状成形肺叶切除术57例;支气管肺动脉双袖状成形肺叶切除术15例;气管隆突及半隆突切除重建合并肺叶切除术6例。结果:本组无手术死亡病例。发生手术并发症7例次,发生率为8.86%。术后1、3、5和10年生存率分别为78.5%、59.5%、35.4%和17.7%。结论: 以支气管袖状成形肺叶切除术为核心的多种切除重建术式最大限度地保留了肺功能,提高了中央型肺癌的治愈率和远期生存率。
英文摘要:
      Objective: To investigate the clinical efficacy of combined surgery of bronchial sleeve resection and other surgery procedures in 78 cases of central lung cancer. Methods: From June 1988 to June 2005,78 cases of central lung cancer underwent combined surgery procedure of bronchial sleeve resection and other surgery procedures, Brochial sleeve figuration and resection were performed in 57 cases, bronchial and arterial resection performed in 15 cases and carinal resection and reconstruction in 6 cases. Results:There was no operative death. 7 patients had operative complications. The rate of operative complication was 8.86 % (7/78). The survial rate at 12,36,60 months and 10 years was 78.5%,59.5%,35.4% and 17.7% respectively. Conclusion:Bronchial sleeve resection, or comblined with arterial sleeve resection,can significantly preserve pulmonary function,improve the prognosis and increase the curative rate and long-term in patients with central lung cancer.
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