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目的 :探讨支气管及肺动脉成形术的适应证、手术技术及并发症防治。方法 :回顾性分析 1989年 7月 1日～ 2 0 0 2年 12月 3 1日 43例行支气管肺动脉联合成形术治疗中心型非小细胞肺癌患者的临床资料。结果 :并发症发生率为 2 3 3 %( 10 /4 3 ) ,术后 3 0d死亡率 4 7% ( 2 /4 3 ) ,术后总的 1、3及 5年生存率分别为82 1% ( 3 2 /3 9)、5 1 7% ( 15 /2 9)及 3 1 3 %( 5 /16)。结论 :同时性支气管肺动脉成形术治疗中心型非小细胞肺癌 ,不仅能最大限度地保留肺组织 ,提高患者术后的生活质量 ,且为部分肺功能差的肺癌患者提供了切除病变的机会。
Objective: To investigate the indications of bronchial and pulmonary angioplasty, surgical techniques and prevention and treatment of complications. Methods: The clinical data of 43 patients with central non-small cell lung cancer who underwent bronchial and pulmonary arterial combined angioplasty from July 1, 1989 to December 31, 2002 were retrospectively analyzed. Results: The incidence of complications was 23.3% (10/43), and the death rate was 34% (3/4) after 30 days. The overall 1,3 and 5 year survival rates were 82 1 % (3 2/3 9), 5 1 7% (15/2 9) and 3 1 3% (5/16) respectively. Conclusions: Simultaneous bronchopulmonary angioplasty for central non-small cell lung cancer can not only maximize lung tissue retention and improve postoperative quality of life, but also provide the opportunity for resection of lung cancer in some lung cancer patients with poor lung function.