论文部分内容阅读
目的 评估补充性全肺切除术的适应证、危险性和结果。 方法 回顾性分析 49例残肺恶性病变患者的补充性全肺切除术 ,其中第二原发性肺癌 14例 ,肺癌复发 35例 ;再次手术平均间隔期为 2 9个月。 结果 全组死亡6例 ,1例死于术中 ,5例死于术后 ,手术死亡率为 12 .2 4%。术后随访 1个月～ 5年 ,中位数生存时间 2 .5年 ,5年生存率为 33%。 结论 补充性全肺切除术治疗残肺癌 ,手术死亡率和术后 5年生存率接近标准的全肺切除术
Objective To assess the indications, risks and outcomes of complementary pneumonectomy. Methods Retrospective analysis of 49 patients with residual malignant lung disease patients with pneumonectomy, including 14 cases of second primary lung cancer, lung cancer recurrence in 35 cases; reoperation average interval of 29 months. Results All the patients died in 6 cases, 1 died in operation and 5 died in operation. The operative mortality was 12.24%. The patients were followed up for 1 month to 5 years. The median survival time was 2.5 years and the 5-year survival rate was 33%. Conclusions Completive pneumonectomy for residual lung cancer, operative mortality and 5-year postoperative survival rate are close to standard pneumonectomy