摘要
目的探讨心包内处理肺血管在治疗局部晚期肺癌手术中的适应讧、手术技巧、术后并发症的防治。方法回顾性分析1998年2月至2007年11月经心包内处理肺血管行局部晚期肺癌肺切除术43例，临床资料。结果全组病例无手术死亡，主要并发症是心律失常、急性肺水肿、肺部感染，发生率为41．86％，术后1、3、5年生存率分别为79．1％、30．2％、11．6％。结论应用心包内处理肺血管技术提高了局部晚期肺癌的手术切除率，降低了手术探查率，使部分局部晚期患者获得了进一步治疗的机会。
Objective To probe into the indication, operative skill of intrapericardial pneumonectomy, the prevention and cure in postoperative complication of intrapericardial pneumonectomy for locally advanced lung cancer. Methods The clinical data of 43 cases of locally advanced lung cancer undergoing intrapericardial pneumonectomy from February 1998 to November 2007 were retrospectively analyzed. Results No surgical death occurred. The main postoperative complication was arrhythmia,acute pulmonary edema and pneumonia,with incidence as 41. 86%. The 1-,3- and 5-year postoperative survival rate was 79.1% ,30.2% and 11.6%. Conclusions The intrapericardial pneumonectomy skill not only can improve resection rate, reduce exploration rate, but also offer more opportunity of further therapy in a part of locally advanced lung cancer.
出处
《中国综合临床》
2009年第10期1086-1088,共3页
Clinical Medicine of China
关键词
肺肿瘤
心包
肺切除术
Lung neoplasma
Intrapericardium
Pneumoneetomy
