摘要
目的总结全肺切除术治疗肺癌的临床经验,探讨肺癌全肺切除的治疗价值。方法对96例肺癌病人进行全肺切除术,其中男77例,女19例,平均年龄56.7岁,包括左全肺切除63例,右全肺切除33例,其中49例行心包内血管处理全肺切除。结果手术死亡1例(1.04%),术后发生并发症8例(8.33%),1、3、5年生存率分别为73.95%、31.42%、11.76%,14例未分化小细胞癌只有1例生存3年以上。结论全肺切除术可提高手术切除率。心包内处理血管是安全的。只要正确合理地选择适应证,加强围手术期处理,配合化疗、放疗等综合疗法,全肺切除术治疗肺癌在临床上仍有一定的价值。
Objective To summarize clinical experience and assess the value of total pneumonectomy for lung cancer.Methods Total pneumonectomy,left 63 cases and right 33,was untertaken in 96 patients with lung cancer,in which,77 were male,19 were female,mean age 56.7 years.Intrapericardial pneumonectomy was carried out in 49 of the patients.Results One died during the operation（1.04%）;post-operative complications were recorded in eight（8.33%）;one-,three-and five-year survival rate were 73.95%,31.42%,and 11.76%,respectively.Only one in 14 cases with undifferential small cell lung cancer survived more than three years.Conclusion Pneumonectomy can increase the resection rate for lung cancer.Intrapericardial management of the vessels is safe.Total pneumonectomy is still to remain a contribution as long as the indications are correctly selected,perioperative management is enhanced,and combine with chemo-and radiotherapy.
出处
《青岛大学医学院学报》
CAS
2010年第5期460-462,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
肺肿瘤
肺切除术
肺外科手术
lung neoplasms
pneumonectomy
pneumosurgery procedure
