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目的 探讨提高肺癌手术切除率的方法。方法 在某些特定因素,改变肺切除术中常规首先处理肺血管再切断支气管的方法,可在肺动、静脉处理前或中间切断支气管即逆行切除术,由于离断了坚硬无延展性的支气管联系,而仅留有血管及结缔组织,使肺门松动延展便于进一步处理,可以大幅度提高肺癌手术切除率。结果 将肺癌病人随机分二组,临床组(行逆行肺切除组):共516例,对照组(不行逆行肺切除组):498例。讨论 两组病人的手术切除率及生存率临床组均高于对照组,手术并发症发生率特别是心肺并发症发生率显著低于对照组,故手术死亡率亦明显下降。结论 逆行肺切除技术是提高肺癌手术切除率及生存率的可行方法。
Objective To explore ways to improve the surgical resection rate of lung cancer. Methods In some special cases, to change the method of pulmonary resection and routine bronchus resection in pulmonary resection, the bronchus or retrograde resection can be cut off before or during pulmonary artery and vein treatment. Because of the severed bronchus Contact, leaving only the blood vessels and connective tissue, so that the hilar loosen and extend for further processing, can greatly improve the surgical resection rate of lung cancer. Results The patients with lung cancer were randomly divided into two groups. In the clinical group (retrograde retrospective lung resection group), 516 patients in total and 498 patients in control group (without retroperitoneal pneumonectomy group). Surgical resection rate and survival rate of two groups were discussed. The clinical group were higher than the control group, the incidence of complications, especially the incidence of cardiopulmonary complications was significantly lower than that of the control group, so the operative mortality was significantly decreased. Conclusion Retrograde lung resection is a feasible method to improve the surgical resection rate and survival rate of lung cancer.