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目的 总结 5 6例全肺切除治疗肺癌临床经验 ,探讨手术指征的掌握和围手术期及术中处理要点。方法 对 5 6例接受全肺切除肺癌病人的临床资料进行回顾性分析。结果 术后并发症发生率 10 .71% (6 /5 6 )。术后 1、3、5年生存率分别为 80 .36 % (4 5 /5 6 )、39.0 2 % (16 /41)和 2 3.33% (7/30 ) ,其中已生存 9年和 13年者各 2例。结论 全肺切除并发症发生率较高 ,但如果围手术期及术中处理得当 ,术后酌情辅以放 /化疗 ,仍可收到较好效果。
Objective To summarize the clinical experience of 56 cases of pneumonectomy in the treatment of lung cancer and explore the mastery of operative indications and key points of perioperative and intraoperative management. Methods The clinical data of 56 patients who underwent pneumonectomy for lung cancer were analyzed retrospectively. Results The incidence of postoperative complications was 10.71% (6/56). The 1, 3, 5-year survival rates were 80.36% (45/56), 39.0 2% (16/41) and 23.3% (7/30), respectively, of which 9 and 13 years of survival 2 cases in each. Conclusions The incidence of pneumonectomy complications is high. However, if perioperative and intraoperative management is appropriate, postoperative adjuvant radiotherapy / chemotherapy may still achieve better results.