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贵州省遵义医学院附属医院胸心外科,遵义,563003
纸质出版日期:2014,
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蔡庆勇, 梁贵友, 徐 刚, 等. 袖式肺叶切除治疗中央型肺癌41例[J]. 重庆医科大学学报, 2014,38(9):1258-1260.
Cai Qingyong, Liang Guiyou, Xu Gang, et al. Treatment of 41 patients with central lung cancer by sleeve-lobectomy[J]. Journal of Chongqing Medical University, 2014,38(9):1258-1260.
目的:总结袖式肺叶切除治疗中央型肺癌的临床体会。方法:我院从2002年1月至2012年12月共完成袖式肺叶切除41例:其中支气管袖式肺叶切除15例,支气管袖式肺叶切除联合肺动脉成形术17例,支气管肺动脉双袖式肺叶切除9例。通过回顾分析总结临床经验。结果:术后支气管胸膜瘘死亡1例,1例术后咳血,5例肺部感染,5例发生肺不张。结论:袖式肺叶切除术是治疗部分中央型肺癌安全、有效的方法,扩大了手术适应证,能最大程度的减少功能肺的丧失。
Objective:To summarize the clinical experiences of treating central lung cancer with sleeve-lobectomy resection. Methods:From January 2002 to December 2012,41 cases of sleeve-lobectomy resection were finished,in which there were 15 cases of bronchus sleeve lobectomy,17 cases of bronchus sleeve lobectomy combined with the pulmonary arterioplasty and 9 cases of double-sleeve pulmonary lobectomy with bronchus pulmonary artery. Clinical experiences were summarized and retrospectively analyzed. Results:After the surgery,one patient with bronchopleural fistula died,one got hemoptysis,five got pulmonary infection and five got pulmonary atelectasis. Conclusion:Sleeve-lobectomy resection is safe and effective in the treatment of central lung cancer,which can expand the operative indications and reduce the loss of lung function to a maximum degree.
中央型肺癌袖式肺叶切除支气管成形肺动脉成形
central lung cancersleeve-lobectomy resectionbronchoplastypulmonary arterioplasty
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