摘要
手术治疗主动脉窗型肺癌４５例，占同期手术治疗左侧肺癌１４．２９％（４５／３１５）。本组病例均为Ⅲ期中央型肺癌，其中Ⅲａ２９例，Ⅲｂ１６例。手术切除率６２．２２％，探查率３７．７８％。３年生存率２３．０８％。主动脉窗型肺癌因其特殊的解剖部位，易侵及动脉干、肺静脉、心包、神经、隆凸等，造成手术探查率高。全肺切除率高。术后继续化疗和（或）放疗是一种较好的综合治疗方法。
Bronchogenic carcinoma located in the aortic window presents a challenge to thoracic surgeons in the aspects of preoperative diagnosis,assessment of resectability of the tumor and technical difficulties because of presence of the adjacent important structures. This report presents the experience of surgical treatment on 45 such cases. This type of bronchogenic carcinoma occupied l4.29%(45/3l5)of carcinomas of the left lung surgically treated during the same period of time. All the cases in this series belonged to stage Ⅲ central type lung cancer,including 29 cases of Ⅲa and l6 Ⅲb.The resectability rate was 62.22%and exploratory rate 37.78%. The 3 year survival rate was 23.08%.The clinical characteristics,assessment of resectability,selection of the type of operation and technical key points of the aortic window type of bronchogenic carcinoma were discussed.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1996年第1期14-15,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
肺肿瘤
主动脉窗型
外科手术
Lung cancer
Aortic window
Surgical treatment
