原发性支气管肺癌外科治疗的临床分析

The Clinical Analysis of Surgical Treatment for Lung Cancer Patients

目的分析原发性支气管肺癌的外科治疗效果,预防和减少术后并发症,提高患者的生活质量。方法对548例原发性支气管肺癌进行手术治疗,其中左全肺切除术35例(6.4%),右全肺切除术16例(2.9%),肺叶切除术385例(70.3%),袖式肺叶切除术42例(7.6%),肺部分切除术54例(9.8%),剖胸探查术16例(2.9%)。结果术后并发症36例,肺不张25例,胸腔感染11例,无支气管胸膜瘘和乳糜胸,平均住院时间(12.6±3.5)d,术后无患者死亡。结论肺癌治疗以手术为首选,完善的术前检查及恰当的手术方式可提高肺癌疗效,对肺癌术后患者行术后化疗可延长患者生存期。

Objective To explore the effect of the surgical treatment on patients suffering from lung cancer, prevent and reduce postoperative complications and improve the quality of life of patients. Methods 548 cases of lung cancer received operation, of which 35 left total pneumonectomy （resection rate 6.4%）,16 right total pneumonectomy （resection rate 2.9%）, 385 lung Iobectomy （ resection rate,70.3 %） ,42 lung sleeve Iobectomy （ resection rate,7.6%） ,54 pneumonoresection （ resection rate 9.8 %）, 16 exploratory surgery（2.9 %）. Results Postoperative complications were found in 36 cases, of which 25 pulmonary atelectasises, 11 pleural infections, no bronchopleural fistula and chylothorax. The average hospital days were 12.6 ± 3.5. Conclusions The operation was the best choice for lung cancer patient. Full preoperative preparations with appropriate time and procedure were chosen in order to improve the effect of operation. The postoperative chemotherapy was considered to prolong the life of patients.