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目的 总结 1981年 7月～ 1995年 7月 18例气管隆突、主支气管切除成形手术治疗中心型肺癌的经验。方法 主支气管袖状切除对端吻合术 8例 ,全隆突切除重建 1例 ,左全肺切除部分隆突切除重建 1例 ,右上肺叶切除部分隆突切除重建 4例、支气管楔形肺叶切除 4例。结果 术后 2 1天死亡 1例 ,系吻合口肉芽肿形成 ,激光治疗后死于肺动脉破裂出血。术后一年生存率 82 .4% ( 14 /17) ,三年生存率 47.1% ( 8/17) ,五年生存率 3 5 .3 % ( 5 /17)。结论 气管隆突主支气管切除成形手术提高了中心型肺癌的手术切除率 ,并取得满意的治疗效果。
Objective To summarize the experience of 18 cases of tracheal carina and main bronchoplasty in the treatment of central lung cancer from July 1981 to July 1995. Methods Eight cases of primary bronchial sleeve resection and distal anastomosis, one case of total carinal resection and reconstruction, one case of partial resection and reconstruction of left pneumonectomy, 4 cases of reconstruction of upper right lobectomy and 4 cases of bronchial wedge lobectomy . Results One died after 21 days. The anastomotic granuloma formed. After laser treatment, it died of pulmonary artery rupture. The one-year survival rate was 82.4% (14/17), the three-year survival rate was 47.1% (8/17), and the five-year survival rate was 35.3% (5/17). Conclusion The main bronchial resection of tracheal carina underwent resection of central lung cancer, and the satisfactory curative effect was obtained.