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目的:介绍肺癌手术治疗中的一类非袖状非楔形切除的支气管成形术的特殊术式。方法:在肺切除(肺叶或全肺)同时伴行受累的一侧支气管壁切除,用相应或对侧健康的支气管壁加以适当成形后修补或覆盖缺损重建气道。结果:1986年5月至1997年12月共为9例肺癌病者作了六种特殊形式的支气管成形术,全部成功。结论:这类术式适用于特定部位支气管受累病例。有时可代替复杂的气管、支气管隆突切除及气道重建,既可彻底切除病变又能保留健肺,进一步扩大了肺癌外科的适应症。
Objective: To introduce a special type of non-sleeve non-wedge resection of bronchoplasty in the surgical treatment of lung cancer. METHODS: Bronchial wall resection was performed on the side of the lung involved in lung resection (lung or whole lung) and repaired or covered by the appropriate bronchial wall of the contralateral or contralateral side to reconstruct the airway. RESULTS: Six special forms of bronchoplasty were performed for nine patients with lung cancer from May 1986 to December 1997, all of which were successful. Conclusion: These procedures are suitable for bronchial involvement in specific sites. Sometimes can replace the complex trachea, bronchiectasis resection and airway reconstruction, can completely remove the disease but also to maintain Jianfei, lung cancer surgery to further expand the indications.