支气管肺动脉袖状成形术治疗右肺上叶中央型肺癌

目的:总结支气管肺动脉袖状成形术治疗右肺上叶中央型肺癌的临床疗效。方法:对21例右肺上叶中央型肺癌患者施行支气管肺动脉袖状成形右肺上叶切除术,其中支气管袖状切除11例,单纯肺动脉袖状切除2例,支气管肺动脉联合袖状切除8例。结果:全组无手术死亡,术后无支气管吻合口瘘,2例呼吸衰竭。结论:支气管肺动脉袖状成形治疗右肺上叶中央型肺癌能扩大手术适应症,改善生活质量,能提高生存率。

Objective：To summarize the clinical value ot bronchoplastic procedures or pulmonary artery reconstruction in right upper central lung cancer.Methods：21 cases with right upper central lung cancer were given bronchoplastic procedures or pulmonary reconstruction, including 11 cases of bronchoplastic sleeve right upper lobectomy;2 cases of pulmonary artey reconstructon sleeve right upper lobectomy;8 cases of double sleeve right upper lobectomy.Results：There were no operative death or anastomitic fistula;but 2 cases of respiratory failure.Conclusion ：Bronchoplastic procedures or pulmonary artery reconstruction of sleeve right upper lobectomy can improve the curative rate and long-term survival in patients with right upper central lung cancer.