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肺动脉成形重建术是肺外科十分有用的手术技巧,应用得当可提高手术的安全性,避免血管意外,减少全肺切除及开胸探查,保证肺叶切除及支气管成形术的成功。目前外科治疗肺癌的5年生存率为20.8%～31.0%,明显优于其它治疗手段。但是外科治疗中经常遇到病变侵及肺动脉,不得不扩大肺叶切除范围,或被迫终止手术的情况。肺动脉成形重建术符合最大限度地切除肿瘤和最大限度地保留肺组织的原则,扩大了肺癌手术适应症,使一些中心型肺癌患者获得了与一侧肺全切同样的手术效果,术后生活质量大大提高,同时给一部分因肺功能受限不能耐受肺全切的患者增加了手术机会。本文就肺动脉成形重建术目前在肺癌中的研究进展作一综述。
Pulmonary angioplasty is a very useful surgical technique in pulmonary surgery. Proper application can improve the safety of surgery, avoid vascular accidents, reduce pneumonectomy and thoracotomy, and ensure the success of lobectomy and bronchoplasty. At present, the 5-year survival rate of surgical treatment of lung cancer is 20.8% ~ 31.0%, which is obviously better than other treatments. However, surgical treatment often encountered lesions affecting the pulmonary artery, had to expand the scope of lobectomy, or forced to terminate the operation. Pulmonary angioplasty in line with the principle of maximum tumor excision and maximum retention of lung tissue to expand the indications for surgical treatment of lung cancer, so that some patients with central lung cancer and lung resection obtained the same surgical effect, postoperative quality of life Greatly increased, at the same time to some due to limited lung function can not tolerate patients with total lung surgery increased the chance of surgery. This article reviews the current research progress of pulmonary angioplasty in lung cancer.