目的探讨肺叶支气管袖状切除术的操作要点及有关注意事项。方法对7例中心型肺癌肺叶支气管袖状切除术治疗进行回顾性分析。结果7例中,术后吻合口瘘1例,死亡1例,吻合口肉芽肿1例,肺内感染2例,肺不张1例。结论肺叶支气管袖状切除术与多肺叶或全肺切除相比,根治程度、术后并发症等无明显差别。但能最大限度地保留肺组织及肺功能,术后恢复快,生活质量明显提高。 Objective To investigate the operating points and precautions of bronchial sleeve resection of lung lobes. Methods A retrospective analysis was performed on the treatment of bronchial sleeve resection in the lung of 7 patients with central lung cancer. Results Among the 7 cases, 1 case had anastomotic fistula, 1 died, 1 anastomotic granuloma, 2 cases pulmonary infection and 1 case atelectasis. Conclusions There is no significant difference between radical bronchial sleeve resection and multiple lobectomy or total pneumonectomy in the degree of cure and postoperative complications. But to maximize the retention of lung tissue and lung function, rapid recovery, quality of life improved significantly.