肺叶袖状切除术治疗68例老年中心型肺癌效果分析

Analysis of effect by pulmonary lobe sleeve resection in the treatment of 68 senile central-type lung cancer cases

目的研究肺叶袖状切除术对老年中心型肺癌的治疗效果。方法 136例老年中心型肺癌患者,根据治疗方法不同分为观察组和对照组,各68例。观察组患者行肺叶袖状切除术治疗;对照组患者采用全肺切除手术治疗。比较两组患者手术相关情况及远期情况。结果观察组患者手术时间为(125.2±14.7)min、术中出血量为(463.4±46.8)ml、胸腔引流量为(452.6±64.2)ml,均优于对照组的(156.2±10.5)min、(288.4±62.8)ml及(332.7±72.4)ml(P<0.05);观察组患者3年存活率及5年存活率分别为73.5%、55.9%,高于对照组的54.4%、38.2%(P<0.05)。结论治疗老年中心型肺癌时采用肺叶袖状切除术,可缩短手术时间、减少手术出血量及引流量,对改善患者预后、提高远期存活率有明显帮助,值得在临床推广。

Objective To research curative effect by pulmonary lobe sleeve resection for senile centraltype lung cancer. Methods A total of 136 senile central-type lung cancer patients were divided by different treatment measures into observation group and control group, with 68 cases in each group. The observation group received pulmonary lobe sleeve resection for treatment, and the control group received pneumonectomy. Comparison was made on operation condition and long-term status between the two groups. Results The observation group had all better operation time as（125.2±14.7） min, intraoperative bleeding volume as（463.4±46.8） ml and chest drainage volume as（452.6±64.2） ml than（156.2±10.5） min,（288.4±62.8） ml and（332.7±72.4） ml in the control group（P〈0.05）. The observation group had all higher 3-year and 5-year survival rates as 73.5% and 55.9% than 54.4% and 38.2% of the control group（P〈0.05）. Conclusion Implement of pulmonary lobe sleeve resection in treating senile central-type lung cancer can shorten operation time and reduce bleeding and drainage volume. This method is helpful for improving prognosis and long-term survival rate in patients, and it is worth clinical promotion.