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目的总结采用以支气管袖状成形肺叶切除术为核心的多种切除重建术式治疗79例中央型肺癌的临床疗效。方法1988年6月~2005年6月,对79例中央型肺癌患者施行以支气管袖状成形肺叶切除术为核心的多种切除重建手术。支气管环状切除成形及支气管袖状成形肺叶切除术57例;支气管肺动脉双袖状成形肺叶切除术15例;气管隆突及半隆突切除重建合并肺叶切除术6例。结果本组无手术死亡病例。发生手术并发症7例次,发生率为8.86%。术后1、3、5和10年生存率分别为78.5%,59.5%,35.4%,17.7%。结论以支气管袖状成形肺叶切除术为核心的多种切除重建术式能最大限度保护了肺功能,提高了中央型肺癌的治愈率和远期生存率。
Objective To summarize the clinical effects of multiple resection and reconstruction of bronchiectomy with lobectomy in 79 patients with central lung cancer. Methods From June 1988 to June 2005, a total of 79 patients with central lung cancer were treated with bronchial sleeve-shaped lobectomy as the core of a variety of resection and reconstruction. Bronchial ring resection and bronchial sleeve shaped lobe resection in 57 cases; bronchial and pulmonary double sleeve lobe resection in 15 cases; tracheal carina and semilunar resection combined with lobectomy in 6 cases. Results This group no surgical deaths. There were 7 cases of surgical complications, the incidence was 8.86%. The 1,3,5 and 10 year survival rates were 78.5%, 59.5%, 35.4% and 17.7% respectively. Conclusion Various resection and reconstruction procedures with bronchial sleeve lobe resection as the core can maximize the protection of lung function and improve the cure rate and long-term survival rate of central lung cancer.