局解手术学杂志2018，Vol.27Issue(3)：217-220,4.DOI:10.11659/jjssx.11E017076
肺癌侵及心脏及大血管的外科手术治疗
Surgical treatment for lung cancer invading the heart and large blood vessels
易建光 1叶茂亭 1程伟 1刘欣 1程永波 1张现普1
作者信息
- 1. 陆军军医大学(第三军医大学)第一附属医院胸心外科,重庆400038
- 折叠
摘要
Abstract
Objective To investigate the surgical treatment of lung cancer invading the heart and large blood vessels.Methods The clinical data of 96 cases of lung cancer invading the heart and large blood vessel admitted into our hospital from March 2009 to March 2012 were retrospectively analyzed,especially the surgical methods,postoperative complications and 5-year survival rate.Results The 5-year survival rate of lung cancer patients who infringed the atrium and superior vena cava had no significant difference (P ＞ 0.05).However,the 5-year survival rate and median survival time of lung cancer patients who infringed the atrium and superior vena cava were significantly lower than those of lung cancer patients who infiltrated the pulmonary artery,and the difference was statistically significant(P ＜ 0.05).The median survival time of patients with lung cancer invading the atrium was lower than that of patients with lung cancer invading the superior vena cava,and the difference was statistically significant(P ＜ 0.05).The range of tumor involvement after operation was significantly lower than that before operation,and the difference was statistically significant(P ＜ 0.05).Three types of surgical methods were used for patients according to different invading sites,and the complication incidence of 3 surgical methods were similar with no statistically significant difference(P ＞ 0.05).Conclusion Surgical treatment for lung cancer invading the heart and large blood vessels has a good efficacy,which can improve the involved tumor range of patients without serious postoperative complications and provide opportunity for patients with comprehensive postoperative treatment.In addition,it can significantly improve the 5-year survival rate of patients.关键词
肺癌/侵犯心脏与大血管/外科治疗/5年生存率Key words
lung cancer/invasion of the heart and large blood vessels/surgical treatment/5-year survival rate分类
医药卫生引用本文复制引用
易建光,叶茂亭,程伟,刘欣,程永波,张现普..肺癌侵及心脏及大血管的外科手术治疗[J].局解手术学杂志,2018,27(3):217-220,4.
