支气管肺动脉成形术治疗老年ⅢA期中央型肺癌患者的临床分析

Clinical analysis of broncho-angioplastic lobectomy in the treatment of old patients with central type lung cancer in stage ⅢA

目的探讨支气管肺动脉成形术治疗中央型肺癌的临床价值。方法选取我院48例中央型肺癌患者,随机分为治疗组和对照组,31例行支气管肺动脉成形术,17例行全肺切除术。比较两组术后并发症的发生率、1、3、5年生存率及术后5年生存患者的生活质量。结果两组围手术期无死亡病例。治疗组术后并发症的发生率为9.69%,对照组术后并发症的发生率为29.40%。治疗组1、3、5年生存率77.42%、48.39%和29.03%,对照组1、3、5年生存率70.58%、41.17%、23.52%。术后并发症及生存率差异无统计学意义(P>0.05)。治疗组与对照组的生存质量评分差异有统计学意义(P<0.05)。结论支气管肺动脉成形术较全肺切除术术后并发症及生存率无明显差异,但术后生存质量明显较高。

Objective To explore the clinical experience and application value of bronchoplasty and pulmonary arterioplasty in treatment of central-type lung cancer.Methods 48 patients with central lung cancer were randomly divided into two groups,the treatment group（31 cases） received bronchoplasty and pulmonary arterioplasty and the control group（17 cases） received pneumonectomy.The rate of post operative complications,survival for 1,3,5 years and life quality of 5-year survival were compared between the two groups.Results No patients died in the perioperafive period in two groups.The rates of post operative complication in treatment group and the control group were respectively 9.69% and 29.40%.The 1,3,5 year-survival rate in treatment group were respectively 77.42%,48.39% and 29.03%,and 70.58%,41.17% and 23.52% in control group,respectively.No significant differences were found between the groups in survival rates and rates of post operative complication（P0.05）.But significant difference was found between the groups in survival quality analysis（P0.05）.Conclusion Broncho-angioplastic pulmonary can improve the survival quality of patients,but had no effect on post operative complication and survival rate.