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目的研究支气管袖状切除肺癌的临床治疗经验,以提高患者的生存率。方法对2001年8月—2011年8月新沂市人民医院收治的肺癌支气管袖式切除220例的临床资料进行回顾性分析。结果 220例患者无死亡病例,其中术后并发症共70例(28%),肺不张患者20例,心律失常患者30例,支气管胸膜瘘患者10例,声音嘶哑患者10例,随访发现患者的1年、3年、5年的生存人数分别为180例、120例、80例,生存率分别为81.8%、54.5%、36.4%。结论支气管袖状切除术扩大了肺癌患者的相应体征,避免了患者整个肺部的切除,有效的使患者的生存质量得到提高。
Objective To study the clinical experience of bronchial sleeve resection of lung cancer in order to improve the survival rate of patients. Methods The clinical data of 220 cases of bronchial sleeve resection of lung cancer admitted to Xinyi People’s Hospital from August 2001 to August 2011 were analyzed retrospectively. Results There were no deaths in 220 patients, including 70 cases (28%) of postoperative complications, 20 cases of atelectasis, 30 cases of arrhythmia, 10 cases of bronchopleural fistula and 10 cases of hoarseness. All patients were followed up The survival rates at 1 year, 3 years and 5 years were 180 cases, 120 cases and 80 cases, respectively. The survival rates were 81.8%, 54.5% and 36.4% respectively. Conclusions Bronchial sleeve resection expands the corresponding signs of lung cancer patients, avoids the removal of the entire lung of the patient, and effectively improves the quality of life of patients.