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1、肺癌袖式切除术42例临床分析［摘耍］日的：探讨肺癌袖式切除术的手术效果及其对肺癌患者的临床意义。方法：选取本科2005年1月~2010年6月收治的82例肺癌患者，随机分为两组，42例治疗组患者采取肺癌袖式切除术，40例对照组患者采取患侧全肺切除术，比较两组患者手术效果，包括手术死亡率、术后并发症发生率及患者5年内存活率。结果：本组病例1例患者于术后6d发生支气管胸膜痿，继发肺部感染，治疗无效死亡。余41例患者术后未出现肺不张、脓胸及肺动脉栓塞等术后并发症，术后1周均作支气管镜复查，患者支气管未发现吻合口狭窄现象，术后5~8d拔除胸管，多数患者有排痰不畅，给予吸痰处理，
2、术后12〜28d,41例患者均康复出院，平均住院时间为17do术后5年内随访本组其余41例患者，18例患者死亡。结论：肺癌袖式切除术手术创伤小、手术死亡率及术后并发症发生率低，患者5年内存活率高，该术式最大限度地保留了肺癌患者的健康肺组织，提高了患者晚期生活质量。［关键词］肺癌；袖式切除术；支气管成形术；肺动脉成形术［中图分类号］R655.3［文献标识码］B［文章编号］1674-4721(2011)06(b)-116-02Sleeveresectionoflungcancerclinicalanalysisof42casesNIEZhengbo,ZHAOAnlai,G
3、UOYuemingDepartmentofCardiothoracicSurgery,CentralHospitalofYiyangCity,HunanProvince,Yiyang413000,China[Abstract]Objective:Toinvestigatelungcancersleeveresectionoftheeffectofsurgeryandtheclinicalsignificanceofpatientswithlungcancer.Methods:82patientsinourdepartmentfromJanuary2005toJune2
4、010oflungcancerpatientsweretreatedrandomlydividedintotwogroups,42casesoflungcancerpatienlstreatedwithsleeveresectionto40casesofcontrolgrouppatientstotakeipsilateralpneumonectomysurgery,surgicalresultstwogroupswerecompared,includingoperativemortality,postoperativecomplicationsandsurvival
5、rateofpatientswithin5years.Results:1patientinthisgroupofpatients6daysaftersurgeryoccurredinthebronchialfistula,secondarypulmonaryinfection,treatment,died・Aftermorethan41patientswithoutpulmonaryatelectasis,empyema,andpostoperativecomplicationssuchaspulmonaryembolism,1weekafterbronchoscop
6、ywerereviewedforpatientsofbronchialanastomoticstricturewasfoundphenomenon,5~8daysafterremovalofchesttube,mostpatientshavepoorexpectoration,givensuctiontreatment,after12-28days,41patientsweredischarged,theaveragehospitalstayof17days.After5yearsfollow-upofmorethan41patientsinthisgroup,18p
7、atientsdied.Conclusion:Thelungcancersleeveresectionsurgicaltrauma,operativemortalityandpostoperativecomplicationrate,highsurvivalrateofpatientswithin5years,themaximumretainedsurgicalpatientswithlungcancerandhealthylungtissueandimprovethelivesofpatientswithadvancedquality・[Keywo
