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目的探讨重度低肺功能肺癌患者围手术期安全性及疗效。方法35例肺癌患者术前肺功能检查最大通气量占预计值(MVV%)均低于50%,手术治疗并随访5年。结果术后并发症总发生率54·3%,无一例手术死亡。术后1、2、3、5年生存率分别为71·4%、42·86%、37·14%、17·14%。结论低肺功能肺癌患者手术风险大、术后并发症发生率高,但有选择开展这类患者手术治疗、加强围手术期处理,能安全度过围手术期,改善生存质量,亦可获得良好的近、远期治疗效果。
Objective To investigate the perioperative safety and efficacy of severe low lung function lung cancer patients. Methods The 35 cases of lung cancer patients preoperative pulmonary function test maximum ventilation accounted for the predicted value (MVV%) were less than 50%, surgical treatment and follow-up of 5 years. Results The total incidence of postoperative complications was 54.3%, without any surgical death. The 1, 2, 3, 5-year survival rates were 71.4%, 42.86%, 37.14% and 17.14% respectively. Conclusion Low lung function lung cancer patients with high risk of surgery, the incidence of postoperative complications, but the choice of such patients surgery to strengthen the perioperative management, perioperative safety margin perioperation, improve quality of life, but also get good The near and long-term treatment effect.