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目的探讨肺癌手术治疗后局部复发行余肺切除术的可行性、手术方法、治疗效果及预后。方法选取18例肺癌术后局部复发余肺切除术患者的临床资料进行回顾性分析。结果本研究根治性切除率、并发症发生率、手术死亡率分别为88.9%(16/18)、38.9%(7/18)、5.6%(1/18);手术出血量为1200 ml;心包内处理肺血管占66.7%(12/18);余肺切除术后患者1、3、5年生存率分别为83.3%(15/18)、27.8%(5/18)、22.2%(4/18)。结论对肺癌术后局部复发的患者,由于胸腔内广泛粘连,再次手术难度极大,且术后并发症发生率较高,但若对手术适应证进行严格掌握,患者可取得较满意生存率。
Objective To investigate the feasibility, operation method, treatment effect and prognosis of lung cancer resection after lung cancer surgeries. Methods The clinical data of 18 patients with locally recurrent lung cancer after lung cancer surgery were retrospectively analyzed. Results The resection rate, complication rate and operative mortality in this study were 88.9% (16/18), 38.9% (7/18) and 5.6% (1/18), respectively. The operative bleeding volume was 1200 ml. The pericardium The 1,3,5-year survival rates after pneumonectomy were 83.3% (15/18), 27.8% (5/18), 22.2% (4 / 18). Conclusions Patients with locally recurrent lung cancer due to extensive adhesions in the thoracic cavity may find it extremely difficult to reconstruct the operation and the incidence of postoperative complications is high. However, if the operation indications are strictly controlled, the patients can obtain more satisfactory survival rates.