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目的:探讨支气管肺动脉成形术治疗中心型肺癌的效果。方法:1998年12月至2008年12月对16例中央型肺癌施行支气管肺动脉联合成形肺叶切除,包括双袖式左肺上叶切除7例;双袖式右肺上叶切除2例;双袖式右肺中上叶切除2例;双袖式右肺中上叶切除同时隆突重建2例;袖式左上肺叶切除、肺动脉楔形切除2例;袖式右肺中上叶切除、肺动脉楔形切除1例。结果:本组无死亡及吻合口瘘发生,术后2例出现肺不张,2例并发肺感染,全组术后1年生存率为93.8%,3年生存率为62.5%。结论:肺动脉成形或肺动脉支气管同时成形肺叶切除减少了全肺切除和单纯剖胸探查的比例,扩大了手术适应征,符合最大限度地切除肿瘤及最大限度保留肺功能的肺癌手术基本原则,是一种安全、有效、可行的术式。
Objective: To investigate the effect of bronchopulmonary angioplasty on central lung cancer. Methods: From December 1998 to December 2008, 16 cases of central lung cancer underwent combined lobectomy of bronchopulmonary artery, including 7 cases of double-sleeve left upper lobe resection, 2 cases of double-arm right upper lobe resection in 2 cases, 2 cases of right upper lobe resection; 2 cases of double-sleeve right upper lobe resection and 2 cases of lengthening reconstruction; 2 cases of sleeve left upper lobe resection and pulmonary artery wedge resection; 2 cases of middle right upper lobe resection and pulmonary wedge resection 1 case. Results: There was no death and anastomotic fistula occurred in this group. Two cases developed atelectasis and two cases were complicated with pulmonary infection. The 1-year survival rate was 93.8% and the 3-year survival rate was 62.5%. Conclusions: Pulmonary atherectomy or simultaneous bronchial lobectomy reduces the proportion of total pneumothorax and simple thoracotomy, expands the indications for surgery, meets the basic principles of lung cancer surgery to maximize tumor excision and maximum lung function A safe, effective and feasible operation.