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目的 探讨中叶肺癌最大限度保留健肺的手术方法。方法 1994年 6月至 1999年 8月 ,对 16例中叶肺癌分别采取了中叶切除加支气管楔形切除 12例 ,其中 6例伴肺动脉部分切除 ,2例肺动脉袖式切除 ;另 3例行中叶切除加支气管袖式切除 ,其中 1例伴肺动脉部分切除 ;另 1例行中下叶切除、肺上静脉与肺下静脉重建。结果 16例手术全部获得成功。 1年生存率 88% ,3年生存率 5 0 %。结论 中叶肺癌采用支气管肺血管成形重建术 ,既最大限度切除病变 ,又充分保留健肺 ,扩大了手术适应症
Objective To explore the method of preserving lung health in patients with mid-stage lung cancer to the maximum extent. Methods From June 1994 to August 1999, 16 cases of middle-stage lung cancer were treated by mid-segment resection plus bronchial wedge resection in 12 cases, 6 cases with pulmonary artery partial resection and 2 cases with pulmonary artery sleeve resection. The other 3 cases were treated by mid-section resection plus Bronchial sleeve resection, including 1 case with partial resection of the pulmonary artery; the other 1 case of lower lobe resection, pulmonary vein and pulmonary vein reconstruction. Results All the 16 surgeries were successful. One-year survival rate of 88%, 3-year survival rate of 50%. Conclusions Bronchogenic pulmonary angioplasty was performed in the middle-stage lung cancer, which not only removed the lesions to the maximum extent but also retained the healthy lungs and expanded the indications for surgery