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报告１５例上叶中央型肺癌行楔形支气管袖式肺叶切除加放射治疗。作者认为楔形支气管袖式切除操作难度不大，支气管瘘发生率低，若支气管切除在上叶支气管根部上下旁切０．５ｃｍ～０．８ｃｍ，切除后的中间支气管缺损区所形成的角度不大于９０度，术后不易发生支气管切缘阳性和肺不张及有气管狭窄；再结合术前或术后放疗可以弥补由楔形支气管切除而可能造成支气管的相对切缘不足。适用于局限上叶开口以内的中央型肺癌。
15 cases of central lobe of upper lobe were treated with wedge-shaped bronchial sleeve lobectomy plus radiotherapy. The author believes that the wedge-shaped bronchial sleeve resection is not difficult, the incidence of bronchospasm is low, if the bronchial resection in the upper lobe lobectomy 0.5cm ~ 0.8cm, the resection of the intermediate bronchial defect area formed by the angle is not greater than At 90 degrees, postoperative bronchial excision margins, atelectasis, and tracheal stenosis are not likely to occur; recombination with preoperative or postoperative radiotherapy may compensate for the relative marginal insufficiency of the bronchus caused by wedge-shaped bronchial excision. It is applicable to central lung cancer with limited upper leaf opening.