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目的探讨大血管成形术在肺癌外科中的应用价值。方法回顾性分析136例肺癌手术中涉及大血管成形术患者的病例资料。TNM分期Ⅱb29例;Ⅲa45例;Ⅲb62例。鳞状细胞癌98例,腺癌31例,小细胞肺癌7例。结果136例中上腔静脉置换或部分切除术18例,血管旁路分流术4例;肺动脉成形术92例,其中右上叶肺动脉袖状切除2例,部分切除12例,左上叶袖状切除14例,部分切除64例;左心房部分切除22例。无手术死亡者,随访结果满意。结论应用大血管成形术可以提高手术切除率及手术的安全性,可以最大限度地保留患者的肺功能,并有助于提高患者的术后生存率及生活质量。
Objective To investigate the value of angioplasty in surgical treatment of lung cancer. Methods A retrospective analysis of 136 cases of lung cancer surgery involving patients with angioplasty cases. TNM staging Ⅱ b29 cases; Ⅲ a45 cases; Ⅲ b62 cases. 98 cases of squamous cell carcinoma, 31 cases of adenocarcinoma, 7 cases of small cell lung cancer. Results In 136 cases, superior vena cava replacement or partial resection in 18 cases, bypass bypass in 4 cases, pulmonary angioplasty in 92 cases, of which the right upper lobe pulmonary sleeve sleeve resection in 2 cases, partial resection in 12 cases, the left upper lobe sleeve resection 14 Cases, partial resection in 64 cases; partial resection of the left atrium in 22 cases. No surgical death, follow-up results were satisfactory. Conclusion The application of angioplasty can improve the surgical resection rate and the safety of surgery, which can maximize the patient’s lung function and improve the postoperative survival rate and quality of life.