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我院自1992.3～1997.12共行支气管袖状切除肺叶切除成形术治疗肺癌13例,其中鳞癌9例(69.2％)。术后病理分期:Ⅰ期8例(61.5％);Ⅱ期3例(23.2％);Ⅲ期2例(5.3％)。手术方式:右肺上叶袖切4例,右肺上叶袖切3例,右肺中下叶袖切4例,左肺下叶袖切2例。本术式不但能充分切除癌瘤部分,又能更多保留健肺组织,避免或代替了全肺切除术,使心肺功能较差的病人也可耐受手术,改善了术后生存质量,近远期效果满意。
Our hospital has undergone bronchial sleeve resection lobectomy from 1992.3 to 1997.12 for the treatment of 13 cases of lung cancer, including 9 cases of squamous cell carcinoma (69.2%). Postoperative pathological stage: 8 cases (61.5%) in stage I; 3 cases (23.2%) in stage II; 2 cases (5.3%) in stage III. Surgical methods: right upper lobe cuffed in 4 cases, right upper lobe cuffed in 3 cases, right middle and lower lobe cuffed in 4 cases, left lower lobe cuffed in 2 cases. This method can not only fully excise the tumor, but also retain more lung tissue, avoid or replace the pneumonectomy, so that patients with poor heart and lung function can also tolerate surgery, improve the quality of life after surgery, near The long-term effect is satisfactory.