摘要
为了探讨心包内全肺及部分左心房切除治疗Ⅲ期肺癌的疗效和价值,1988年2月~2001年12月对53例Ⅲ期肺癌行心包内全肺切除32例,合并部分左心房切除治疗17例,剖胸探查或单纯心包开窗4例。手术并发症发生率为17.0%(9/53),死亡2例(3.8%),随访率为96.1%,术后1、3和5年生存率分别为73.6%(39/53)、34.0%(18/53)和20.8%(11/53),其中2例生存超过7年。初步研究结果提示,Ⅲ期肺癌采用扩大切除能提高根治性手术切除率,延长患者生存期,改善生活质量,在临床上有应用价值。
The objective of this paper was to study the significance of pneumoneetomy via intraperieardial vascular management or combined with partial resection of left atrium in the treatment of stage Ⅲ lung cancer. From Feb ruary, 1988 to December, 2001, 32 patients with stage Ⅲ lung cancer underwent pneumoneetomy via intrapericardlal vascular management, and 17 cases underwent pueumonectomy combined with partial resection of left atrium. The incidence of postoperative complications was 17.0 % (9/53). Two patients died and the mortality rate was 3. 8 %. The postoperative follow-up rate was 96.1%. The 1-, 3-, 5-year survival rates were 73.6% (39/53),34. 0% (18/53), 20. 8%(11/53), respectively. Two patients have survived for 7 years. In conclusion, pneumoneetomy via intraperi eardial vascular management or combined with partial resection of left atrium in the treatment of stage Ⅲ lung cancer can enhance the possibility of radical resection, remarkably increase the long-term survival and improve the life quality of the patients. Therefore, it is clinically valuable.
出处
《肿瘤防治杂志》
2005年第23期1817-1818,共2页
China Journal of Cancer Prevention and Treatment
关键词
肺肿瘤/外科学
肺切除术/方法
心脏外科手术
存活率
lung neoplasms/surgery
pneumonectomy/methods
cardiac surgical procedures
survival rate