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目的探讨肺癌全肺切除的治疗效果。方法对我科2003年6月至2005年6月32例肺癌全肺切除病历进行回顾性分析,左全肺切除21例,右全肺切除11例。结果本组术后死亡1例,术后并发胸腔感染1例,行胸腔引流治愈;切口感染1例,经换药治愈,全组未发生支气管胸膜瘘。31例随访结论1年生存率为82.6%,3年生存率为36.5%,5年生存率为25.7%。结论全肺切除术可提高手术切除率,是治疗中晚期肺癌的一种有效术式。
Objective To investigate the therapeutic effect of pneumonectomy for lung cancer. Methods A retrospective analysis was performed on 32 cases of pneumonectomy from June 2003 to June 2005 in our department. There were 21 cases with left pneumonectomy and 11 cases with right pneumonectomy. Results In this group, 1 patient died of postoperative complications of chest infection and 1 patient had chest infection. Thoracic drainage was used to cure the incision. One patient was incisional infection and was cured by dressing change. No bronchopleural fistula occurred in the whole group. The 31-year follow-up concluded that the 1-year survival rate was 82.6%, the 3-year survival rate was 36.5%, and the 5-year survival rate was 25.7%. Conclusion pneumonectomy can improve the rate of resection, is an effective treatment for advanced lung cancer.