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目的:探讨肺动脉成形重建术对非小细胞中心型肺癌的治疗效果。方法:用肺动脉成形术或同时行支气管成形术治疗Ⅲ期非小细胞中心型肺癌49例,其中鳞癌43例,腺癌6例。左上叶袖状切除21例,右上叶6例,右中上叶22例。结果:本组无手术死亡,术后1例发生支气管胸膜瘘,余48例无并发症,术后1年及3年生存率分别为89%和39%。结论:肺动脉成形重建术的应用最大限度地切除了肿瘤组织,并最大限度地保留了肺功能。
Objective: To investigate the therapeutic effect of pulmonary angioplasty on non-small cell lung cancer. Methods: 49 patients with stage Ⅲ non-small cell lung cancer were treated by pulmonary angioplasty or concurrent bronchoplasty, including 43 squamous cell carcinoma and 6 adenocarcinoma. Upper left lobe sleeve resection in 21 cases, right upper lobe in 6 cases, right upper lobe in 22 cases. Results: There was no surgical death in this group. Bronchopleural fistula occurred in 1 case and no complications were found in 48 cases. The 1-year and 3-year survival rates were 89% and 39% respectively. CONCLUSIONS: The use of pulmonary angioplasty has the best possible excision of tumor tissue and maximizes lung function.