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本文报告我院1981～1986年200例肺癌外科手术治疗的经验。术前误诊为纵隔肿瘤、肺结核瘤、肺脓肿、肺炎住假瘤等40例,误诊率为20%。行肺叶切除123例;其中2例术后复发,余肺再次切除。复合切除50例;袖状肺叶切除17例,术后无瘘和吻合口狭窄。我们认为熟练的吻合技术是手术成败的关键。全肺切除10例。对14例肺门、纵隔有淋巴结转移的中央型肺癌,术前进行了半量放疗(3000rad),术中均能成功的切除。术后29例轻型并发症全部治愈,1.例术中死于心脏骤停。
This article reports the experience of surgical treatment of 200 patients with lung cancer in our hospital from 1981 to 1986. Misdiagnosis as mediastinal tumor, pulmonary tuberculoma, lung abscess, pneumonia and living pseudotumor were preoperatively misdiagnosed. The misdiagnosis rate was 20%. 123 patients underwent lobectomy; 2 of them had recurrence and the remaining lung was removed again. 50 patients underwent combined resection and 17 patients underwent sleeve lobectomy. There was no fistula and anastomotic stenosis after operation. We believe that skilled anastomosis is the key to the success of surgery. Pneumonectomy in 10 cases. Fourteen cases of central lung cancer with lymph nodes metastasis in the hilar and mediastinum were treated with half-radiotherapy (3000rad) before surgery and were successfully removed during the operation. After the operation, 29 cases of light complications were all cured, and 1 case died of cardiac arrest.