余肺切除治疗肺部疾患临床探讨

Completion pneumonectomy for pulmonary diseases

摘要: 目的研究余肺切除治疗肺部疾患的手术特点、预后及并发症防治。方法对16例余肺切除治疗肺部疾患的病例进行回顾性分析。结果本组根治性切除率、并发症发生率、手术死亡率分别为87.5%(14/16)、18.8%(3/16)、0;平均手术出血量1 700ml;心包内处理肺血管占62.5%(10/16);肺癌患者1、3、5年生存率分别为81.8%(9/11)、30%(3/10)、22.2%(2/9)。结论余肺切除术治疗肺部疾患有时是唯一有效的方法,胸外科医生应持积极态度。

Abstract: Objective To study the features of completion pneumonectomy for pulmonary diseases and the prognosis and complications in such patients after the operation. Methods Clinical data about 16 patients with pulmonary diseases after completion pneumonectomy were retrospectively analyzed. Results The rate of radical resection,complications and mortality after operation was 87.5%（14/16）,18.8%（3/16）and 0%,respectively.The mean intra-operative blood loss was 1 700ml.The intra-pericardial dissection accounted for 62.5%（10/16）.The 1-,3-and 5-year survival rate of patients with lung cancer was 81.8%（9/11）,30%（3/10） and 22.2%（2/9）,respectively. Conclusion Completion pneumonectomy is a safe and effective procedure for pulmonary disease and should be widely applied in thoracic surgery.