目的讨论支气管、隆突和血管成形术治疗局部晚期中央型肺癌的手术技巧及围手术期患者管理。方法回顾性分析2011年12月至2014年11月在长征医院胸外科采用支气管成形、隆突成形和血管成形手术治疗的局部晚期中央型肺癌21例患者的临床资料,其中男17例、女4例,年龄(63.2±6.2)岁。结果手术时间(3.29±0.75)h,住院时间(25.48±22.31)d,手术顺利,围手术期无死亡病例。术后早期并发症3例,其中肺不张2例、支气管胸膜瘘1例。结论对局部晚期中央型肺癌,支气管、隆突和血管成形术,在最大限度切除肺癌组织的同时最大限度的保留了正常的肺组织。 Objective To discuss the surgical techniques and perioperative management of bronchial, carina and angioplasty in the treatment of locally advanced central lung cancer. Methods The clinical data of 21 patients with locally advanced central lung cancer treated with bronchoplasty, angioplasty and angioplasty in Changzhi Hospital from December 2011 to November 2014 were retrospectively reviewed. There were 17 males and 16 females Cases, age (63.2 ± 6.2) years old. Results The operation time (3.29 ± 0.75) h, hospitalization time (25.48 ± 22.31) d, the operation was smooth and no perioperative death was found. 3 cases of early postoperative complications, including 2 cases of atelectasis, bronchopleural fistula in 1 case. Conclusions For locally advanced central type lung cancer, bronchi, carina and angioplasty, the maximum lung tissue is preserved while the maximum lung tissue is removed.