支气管袖状切除治疗中心型肺癌66例

摘要

目的：总结支气管袖状肺叶切除术治疗66例中心型肺癌的临床经验。方法：回顾性分析本院在1987年1月至2012年8月期间收治的中心型肺癌66例，其中TNM分期Ib 期18例（ T2 N0 M0），Ⅱb 期33例（ T3 N0 M0），Ⅲa 期13例（ T2 N1 M0），IIIb 期2例（ T2 N2 M0）。支气管袖状肺叶切除51例，肺动脉和支气管双袖状肺叶切除15例。结果：手术死亡率1.5％（1/66）。术后并发肺不张4.5％（3/66）、脓胸1.5％（1/66）。术后随访1~60个月，1年生存率83.2％，3年生存率52.3％。结论：支气管或肺动脉袖状切除能提高中心型肺癌的手术切除率，并可最大限度保护肺功能，保证病人术后生活质量。%Objective:To summarize the clinical experience of bronchial sleeve lobectomy in the treatment of 66 patients with central lung cancer. Methods:Retrospectively analysze 66 cases of lung cancer from January 1987 to August 2012. TNM stage Ib,18 cases(T2N0M0),Ⅱb 33 patients(T2N1M0,T3N0M0),Ⅲa 13 patients(T2N1M0), IIIb 2 cases( T2 N2 M0 ). Bronchial sleeve lobectomy was performed in 51 cases,pulmonary and bronchial sleeves like lobectomy in 15 cases. Results:The operative mortality was 1. 5%(1/66). Postoperative pulmonary atelectasis accurd in 4. 5%(3/66)in the totle,and empyema in 1. 5%(1/66). They were followed up for 1 to 60 months,and 1-year survival rate was 83. 2%,3-year survival rate was 52. 3%. Conclusion:Bronchial or pulmonary artery sleeve resec-tion can improve the central lung resection rate,and can maximize the protection of lung function to ensure patient quality of life after surgery.