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目的:探讨经心包内肺切除联合部分左房壁切除术的临床效果。方法:对齐齐哈尔市第一医院2007-02/2009-08开展该类手术的16例进行分析。结果:鳞癌10例,腺癌3例,大细胞癌3例,术前均经纤支镜检查,活检病理报告均为阳性,且均为中央型肺癌。术前肺功能检查均合乎全肺切除指征。术后均取得满意效果。结论:经心包内肺切除联合部分左房壁切除术是难治型中央型肺癌的先进术式,能够最大限度切除有瘤肺组织,提高了切除率,扩大了肺恶性肿瘤手术适应证,改善生存质量。
Objective: To investigate the clinical effect of trans-pericardial pneumonectomy combined with partial atrial septal resection. Methods: The first hospital in Qiqihar 2007-02 / 2009-08 to carry out such operations in 16 cases were analyzed. Results: There were 10 cases of squamous cell carcinoma, 3 cases of adenocarcinoma and 3 cases of large cell carcinoma. All cases were examined by fiberoptic bronchoscopy and biopsy before operation. Both of them were positive for central lung cancer. Preoperative pulmonary function tests are in line with the indications for pneumonectomy. After surgery have achieved satisfactory results. Conclusion: Trans-pericardial pneumonectomy with partial left atrial septal resection is an advanced surgical technique for refractory central lung cancer, which can remove the tumor tissue with the maximum extent and improve the resection rate, expand the indications for surgical treatment of lung malignant tumor, improve Quality of Life.