肺尖癌手术方法的探讨

Exploration on operation methods in pulmonary apex carcinoma

目的探讨肺尖癌的手术方法。方法32例肺尖癌病人,采用Tatsumura等介绍的切口,切口始于第2或第3胸椎,沿椎旁和肩胛角,然后上升到乳头水平,终止于腋前线处,如肺尖癌病变较广泛,已侵犯到邻近组织,则延长切口至胸锁关节。结果该组放疗后手术19例,手术后放疗13例,随访21例,生存3年以上7例,6年以上1例。结论对于肺尖癌,不但要争取早期诊断,而且要积极地给予手术等综合治疗,才可望提高生存率。

Objective: To explore the operation technique of pulmonary apex carcinoma. Methods: 32 patients with pulmonary apex carcinoma, who recommended by Tatsumura, which began at level of the second or third thoracic vertebrae, arising between paravertebral and angulus of scapula to nipple level, reach an anterior axillary line. If the lesions were extensive and contiguous constitutions were involved, the incison needed extend to sternoclavicular joint. Results: Of all patients, preoperative radiotherapy were performed in 19 cases, postoperative radiotherapy were performed in 13 cases. 21 patients were followed up, and 7 of them survived for 3 years, 1 of them survived above 6 years. Conclusions: Early diagnosis and active combination therapy with operation could increase the survival rate of the patients with pulmonary apex carcinoma.