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目的 总结 3 4 9例肺切除合并心脏大血管切除重建术治疗局部晚期肺癌的临床疗效。方法 1 983年 2月～ 2 0 0 0年 1 2月 ,对 3 4 9例肺癌患者施行肺切除合并心脏大血管切除重建术。肺切除合并肺动脉切除重建术 2 0 5例 ;合并部分左心房切除重建术 75例 ;合并上腔静脉切除重建术 6 5例 ,其中 3例同时合并隆凸切除重建术 ;合并胸主动脉切除重建术 4例。结果 本组手术死亡 2例 ,死亡率为 0 .6 %。发生手术并发症5 3例次 ,发生率为 1 5 .2 %。术后 1、3、5和 1 0年生存率分别为 79.3 6 %、5 9.93 %、3 3 .1 4%和 2 3 .5 6 %。结论 肺切除合并受肺癌侵犯的心脏大血管切除重建术能明显提高患者的生存率 ,改善患者预后。
Objective To summarize the clinical efficacy of 394 lung resection combined with cardiac revascularization reconstruction for locally advanced lung cancer. Methods From February 983 to February 2000, 394 lung cancer patients underwent lung resection combined with cardiac revascularization reconstruction. Pulmonary resection combined with pulmonary resection and reconstruction of 205 cases; with partial left atrial resection and reconstruction of 75 cases; combined with superior vena cava resection and reconstruction of 565 cases, including 3 cases of simultaneous reconstruction of bulging resection; combined thoracic aortic resection reconstruction 4 cases. Results There were 2 deaths in this group and the mortality rate was 0.6%. Surgical complications occurred in 53 cases and the incidence was 15.2%. The 1-, 3-, 5-, and 10-year survival rates were 79.36%, 5.9%, 31.4%, and 23.6%, respectively. Conclusions Pulmonary resection combined with resection of large vessel resection of lung cancer can significantly improve the survival rate of patients and improve the prognosis of patients.