目的探讨支气管肺动脉成形术治疗老年中央型肺癌的临床疗效。方法将60例老年中央型肺癌患者随机分为对照组(采用全肺切除术治疗)和观察组(采用支气管肺动脉成形术治疗),对2组术后1 a和3 a生存率,术后并发症及术后生活质量进行观察和比较。结果 2组术后1 a和3 a生存率无显著性差异;而术后并发症发生率观察组明显低于对照组,术后生活质量评分明显高于对照组(P<0.05)。结论支气管肺动脉成形术可显著改善老年中央型肺癌患者的预后质量,值得临床推广。 Objective To investigate the clinical effects of bronchopulmonary angioplasty in the treatment of elderly patients with central lung cancer. Methods Sixty elderly central lung cancer patients were randomly divided into control group (treated by pneumonectomy) and observation group (treated by bronchopulmonary angioplasty). The survival rates of 1 and 3-year-old patients after operation and postoperative complications Disease and postoperative quality of life were observed and compared. Results There was no significant difference in the survival rates between the two groups at 1 and 3 years postoperatively. The incidence of postoperative complications in the observation group was significantly lower than that in the control group, and the postoperative quality of life scores were significantly higher than those in the control group (P <0.05). Conclusion Bronchogenic pulmonary angioplasty can significantly improve the quality of prognosis of elderly patients with central lung cancer, which is worthy of clinical promotion.