摘要
目的探讨不能耐受肺叶切除的肺癌患者利用胸腔镜行肺局限切除的临床价值。方法 15例不能耐受肺叶切除的肺癌患者利用胸腔镜行肺局限切除术治疗,12例行根治性肺叶切除手术,比较两组患者的临床治疗效果。结果行局限切除后3年生存率为73.3%、复发率为26.7%、围手术期无并发症发生;根治性肺叶切除手术的3年生存率为66.7%、复发率为25%、围手术期出现并发症3例。比较组间生存率、复发率差异无统计学意义,P>0.05;而围手术期并发症发生率差异有统计学意义,P<0.05。结论心肺功能低下的不能耐受肺叶切除肺癌患者行局限性肺切除是一种较理想的选择。
Objective To investigate the clinical value of thoracoscopic resection in the treatment of lung cancer patients untolerable with lobectomy. Methods 15 patients who could not tolerate lobectomy of lung cancer were given thoracoscopic localized lung resection,and 12 cases underwent radical resection operation. The clinical curative effect was compared between the two groups. Results In the localized lung resection group,the 3-year survival rate was 73. 3%,and the recurrence rate was 26. 7%. There was no serious complications occurred. In the radical resection group,the 3-year survival rate was 66. 7%,and the recurrence rate was 25%. 3 cases had complications during peri-operation period. Conclusion Localized lung resection is an ideal choice for lung cancer patients with lower lung and heart function who cannot tolerate lobectomy.
出处
《临床肺科杂志》
2014年第8期1493-1494,共2页
Journal of Clinical Pulmonary Medicine
关键词
不能耐受肺叶切除
肺癌
局限性肺切除
untolerable lobectomy
lung cancer
localized lung resection
