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[重建整形手术在肺癌治疗中的应用]

[Use of reconstructive-plastic surgery in the treatment of lung cancer].

作者信息

Kharchenko V P, Galil-Ogly G A, Chkhikvadze V D, Bogdanova L N, D'iachkova L V

出版信息

Vestn Khir Im I I Grek. 1982 Jul;129(7):3-8.

PMID:7123793
Abstract

A detailed analysis of immediate and late results of reconstructive-plastic operations performed on 387 patients with carcinoma of the lung has been made. Lobectomy with a resection and plasty of bronchi and trachea were fulfilled in 325 patients (84,0 %) and pneumonectomy with a resection of the trachea bifurcation--in 62 patients (16,0 %) with carcinoma of the lung. The authors have studied the question of performing reconstructive-plastic operations for the combined treatment of carcinoma of the lung on 281 patients (72,6 %). The postoperative lethality following pneumonectomy (9,7 %) was not higher than after routine resections of the lung. A 5-year, 10-year and 15-year survival after lobectomy with a resection and plasty of the bronchi and trachea was 60,7. 41,8 and 30,3 % respectively. After pneumonectomy with a resection of the trachea bifurcation the 5-year survival was 20,4 %, 10-year survival was 4 out of 25 patient. Three of 7 patients survived for 15 years. The combined treatment of the lung carcinoma was found to give better results.

摘要

对387例肺癌患者进行的整形重建手术的近期和远期结果进行了详细分析。325例患者(84.0%)进行了肺叶切除并伴有支气管和气管的切除及整形,62例患者(16.0%)进行了全肺切除并伴有气管分叉切除,均为肺癌患者。作者研究了对281例患者(72.6%)进行整形重建手术以联合治疗肺癌的问题。全肺切除术后的死亡率(9.7%)并不高于常规肺切除术后的死亡率。进行支气管和气管切除及整形的肺叶切除术后5年、10年和15年生存率分别为60.7%、41.8%和30.3%。气管分叉切除的全肺切除术后5年生存率为20.4%,25例患者中10年生存率为4例。7例患者中有3例存活了15年。结果发现肺癌的联合治疗效果更好。

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1
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