袖状肺叶切除对中央型肺癌老年患者的术后远期疗效分析

覃文超; 吴真洁; 刘彩霞; 胡旭

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袖状肺叶切除对中央型肺癌老年患者的术后远期疗效分析

覃文超 , 吴真洁 , 刘彩霞 , 胡旭

文章导航 > 蚌埠医学院学报 > 2013, 37 > 7: (851-853)

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袖状肺叶切除对中央型肺癌老年患者的术后远期疗效分析

1.
三峡大学第一临床医学院，湖北省宜昌市中心人民医院心胸外科

作者简介: 覃文超(1976－)，男，主治医师．

基金项目:

The longterm postoperative effect analysis of sleeve lobectomy in the treatment of central lung cancer in older patients

1.
Department of Cardiothoracic Surgery, The First Clinical Medical College Affiliated to Three Gorges University, Yichang Central People's Hospital, Yichang Hubei 443003, China

摘要: 目的：总结袖状肺叶切除术对老年中央型肺癌患者的远期疗效。方法：将行支气管袖状肺叶切除的中央型肺癌患者83例分为老年组36例和非老年组47例，比较2组5年生存率及相关指标。结果：2组术后均无严重并发症发生，术后用力肺活量(FVC)、1 s用力呼气容积(FEV1)和FEV1/FVC均较治疗前下降(P0.01)，而2组术后指标改善差异均无统计学意义(P0.05)。老年组3年及5年生存率分别为61.2%、52.8%，非老年组分别为61.7%、53.2%，2组差异均无统计学意义(P0.05)。结论：支气管袖状肺叶切除对老年中央型肺癌患者安全可行，术后并发症少，生存率较高，且可最大限度地保留患者肺功能，值得临床应用。
- 肺肿瘤 /
- 袖状肺叶切除术 /
- 老年医学
Abstract: Objective: To investigate the longterm effects of sleeve lobectomy in the treatment of central lung cancer in older patients.Methods:Eighty-three patients with central lung cancer treated with sleeve lobectomy were divided into older group(36 cases) and non-older group (47 cases).The 5-year survival rate and some clinical data of two groups were analysed.Results:No seriously postoperative complications in two groups were found.The postoperative forced vital capacity(FVC) and forced expiratory volume in 1 second(FVC1) and the ratio of FVC to FVC1 of two groups after operation were less than those in preoperation (P0.01).The differences of the postoperatively clinical data of two groups were not statistical significance(P0.05).The 3-year and 5-year survival rates in elder group and non-older group were 61.1% ＆ 52.8% and 61.7% ＆ 53.2%,respectively,the differences of which were not statistical significance(P0.05).Conclusions:Sleeve lobectomy in the treatment of central lung cancer in older patients is safe,less complications and high survival rate,which can reserve lung function of patients in large degree and be worthy of clinical application.
- lung neoplasms /
- sleeve lobectomy /
- gerontology

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袖状肺叶切除对中央型肺癌老年患者的术后远期疗效分析

作者简介: 覃文超(1976－)，男，主治医师．

1. 三峡大学第一临床医学院，湖北省宜昌市中心人民医院心胸外科

收稿日期: 2013-01-03
网络出版日期: 2013-07-15

基金项目:

关键词:

摘要: 目的：总结袖状肺叶切除术对老年中央型肺癌患者的远期疗效。方法：将行支气管袖状肺叶切除的中央型肺癌患者83例分为老年组36例和非老年组47例，比较2组5年生存率及相关指标。结果：2组术后均无严重并发症发生，术后用力肺活量(FVC)、1 s用力呼气容积(FEV1)和FEV1/FVC均较治疗前下降(P0.01)，而2组术后指标改善差异均无统计学意义(P0.05)。老年组3年及5年生存率分别为61.2%、52.8%，非老年组分别为61.7%、53.2%，2组差异均无统计学意义(P0.05)。结论：支气管袖状肺叶切除对老年中央型肺癌患者安全可行，术后并发症少，生存率较高，且可最大限度地保留患者肺功能，值得临床应用。