人造血管肺动脉重建术治疗中央型肺癌-上海胸科医院.DOC

[基金项目] 云南省科技计划项目联合专项（2010CD160） [作者简介] 尹小川（1973~），男，四川南充人，博士，副主任医师，从事胸外科临床、教学及科研工作。 [通讯作者] 洪志鹏，E-mail:hzp_doc@ 人造血管肺动脉重建术治疗肺动脉主 干受侵犯的中央型肺癌32例临床分析 尹小川1） 洪志鹏1） 何静2） 洪文娟1） 太祥1） 熊国盛1） 赵炜1） （1）昆明医科大学第一附属医院胸外科，云南 昆明 650031；2）昆明市五华区疾病预防控制中心，云南 昆明 650032） [摘要] 目的 探讨人造血管肺动脉重建术治疗肺动脉主干受侵犯的中央型肺癌的可行性及优越性。方法 对32例肺动脉主干受侵犯的中央型肺癌进行人造血管肺动脉重建术治疗，从手术可行性、手术技巧及该项手术的优缺点方面进行总结。 结果 全组无死亡病例，31例患者术后7-10d出院，1例患者术后出现支气管胸膜瘘，治疗20天后出院。 结论 人造血管肺动脉重建术治疗肺动脉主干受侵犯的中央型肺癌减少了全肺切除术的施行，最大限度的保留了病人健康的肺叶，手术治疗效果佳，创伤较全肺切除小。 [关键词] 中央型肺癌；肺动脉重建；人工血管 [中图分类号] R734.2 [文献标识码] A [文章编号] Clinical Analysis of 32 Cases of Central Bronchogenic Carcinoma whose Pulmonary Artery Stem Invaded by Tumor and whose Pulmonary Artery Reconstructed by Artificial Blood Vessel. YIN Xiao-chuan, HONG Zhi-peng, HE Jing，HONG Wen-juan, TAI Xiang, XIONG Guo-sheng, ZHAO Wei (1)Dept. of Thoracic Surgery, The 1st Affiliated Hospital of Kunming Medical University, Kunming Yunnan 650031, China；2）Disease Prevention and Control Center of Kunming Wuhua District, Kunming Yunnan 650032, China ) [Abstract] Objective To explore the feasibility and superiority of pulmonary artery reconstructed by artificial blood vessel to treat central bronchogenic carcinoma whose pulmonary artery stem invaded by tumor. Method We retrospectively analyzed 32 cases of central bronchogenic carcinoma whose pulmonary artery stem invaded by tumor and whose pulmonary artery reconstructed by artificial blood vessel , we also combined literature review to summary the technique, feasibility and superiority of this operation. Results There is no dead case , 31 cases recovery in7-10 days, 1 case got the bronchopleural fistula and cured 20 days later. Conclusions Pulmonary artery reconstructed by artificial blood vessel central used to bronchogenic carcinoma whose pulmonary artery stem invaded by tumor can reduce the incidence of total pneumonectomy and can reserve the healthy lobe of lung. Treatment effectiveness of this operatio