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我院自1964-2002共对肺癌患者3229例作肺叶或全肺切除治疗,其中发生支气管胸膜瘘(BPF)6例,占0.18%,现从病因、治疗和预后对BPF作一分析。1资料与方法1.1一般资料本组6例中,全部为男性,年龄55-64岁,平均年龄61岁。周围型肺癌3例,中央型肺癌3例。术前治疗:1例予术前化疗(DDP+NVB化疗1个疗程),余5例无术前治疗。肿瘤病变部位:左上肺叶1例,左下肺叶1例,右上肺叶2例,右下肺叶2例。支气管胸膜瘘部位:右侧4例,左侧2例。手术方式:肺叶切除术3例,全肺切除术3例。支气管残段处理方法:1例予支气管闭合器处理,3例用双“7”号丝线结扎支气管残端外加“1”丝线间断缝合,1例用双“10”号丝线结扎支气管残端外加“1”丝线间断缝合,1例用3-0可
Our hospital from 1964-2002 a total of 3229 cases of lung cancer patients with lobectomy or pneumonectomy, bronchopleural fistula (BPF) occurred in 6 cases, accounting for 0.18%, from the etiology, treatment and prognosis of BPF for an analysis. 1 Materials and Methods 1.1 General Information The group of 6 cases, all male, aged 55-64 years, mean age 61 years old. 3 cases of peripheral lung cancer, 3 cases of central lung cancer. Preoperative treatment: 1 case of preoperative chemotherapy (DDP + NVB chemotherapy 1 course), the remaining 5 cases without preoperative treatment. Tumor lesions: 1 case of the left upper lobe, 1 case of the left lower lobe, 2 cases of the right upper lobe and 2 cases of the right lower lobe. Bronchial fistula site: right in 4 cases, left in 2 cases. Surgical methods: lobectomy in 3 cases, pneumonectomy in 3 cases. Bronchial stump treatment: 1 case of bronchial closure treatment, 3 cases with double “7 ” No. Ligation of bronchial stump plus “1” silk interrupted suture, 1 case with double “10 ” number of threads Ligation of bronchial stump plus “1 ” silk interrupted suture, 1 case with 3-0