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目的探讨原发性中叶肺癌的临床诊断和外科治疗特点。方法总结10年间手术治疗的65例原发性中叶肺癌的诊治经验。结果本组UICC分期:Ⅰ期3例,Ⅱ期12例,Ⅲ期16例,Ⅳ期1例。行根治性手术29例中单纯中叶切除术9例,中叶袖状切除术1例,中上叶切除和中下叶切除15例,右全切除术4例;姑息性手术3例。术后无严重并发症发生,均痊愈出院。结论中叶肺癌发病率低,临床上易误诊和延误诊断。单纯中叶切除较少,大部分病例需做中上叶切除或中下叶切除术,甚至全肺切除,以提高手术治疗效果。
Objective To investigate the clinical diagnosis and surgical treatment of primary middle lung cancer. Methods To summarize the experience of diagnosis and treatment of 65 cases of primary middle lung cancer treated surgically in 10 years. Results The UICC staging in this group was as follows: stage Ⅰ in 3 cases, stage Ⅱ in 12 cases, stage Ⅲ in 16 cases and stage Ⅳ in 1 case. Among the 29 cases undergoing radical surgery, there were 9 cases of simple middle resection, 1 case of middle sleeve sleeve resection, 15 cases of middle and upper lobe resection, 15 cases of right lower resection and 3 cases of palliative surgery. No serious postoperative complications occurred, were cured and discharged. Conclusions The incidence of mid-lung cancer is low, and it is easily misdiagnosed and delayed diagnosis in clinic. Less simple resection of the middle, most cases need to do in the lobectomy or lower lobe resection, or even pneumonectomy, in order to improve the surgical treatment.