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目的探讨肺及部分左心房切除术治疗局部期肺癌的疗效。方法选取1990年1月至2008年1月间行肺及左心房部分切除治疗的56例局部晚期肺癌患者,其中左全肺加部分左心房切除31例,右全肺加部分左心房切除术7例,左肺下叶加部分左心房切除6例,右肺中下叶加部分左心房切除9例,右肺中上叶加部分左心房切除术3例。结果 56例患者中,围手术期死亡2例。1、3、5年生存率分别为81.5%、57.4%和20.4%,截至到随访日仍有3例存活。结论肺叶或全肺切除并部分左心房切除能提高局部晚期肺癌手术切除率,延长生存时间。
Objective To investigate the efficacy of lung and partial left atrium resection in the treatment of locally advanced lung cancer. Methods From January 1990 to January 2008, 56 patients with locally advanced lung cancer undergoing partial resection of the lung and left atrium were enrolled. Among them, there were 31 cases of left total lung plus partial left atrium and 7 cases of right total lung plus partial left atrium resection Cases, left lower left lobe plus part of the left atrium resection in 6 cases, middle and lower right lobe plus part of the left atrium in 9 cases, right upper lobe plus part of the left atrium in 3 cases. Results 56 cases of patients, perioperative death in 2 cases. The 1, 3, 5-year survival rates were 81.5%, 57.4% and 20.4%, respectively. As of the follow-up date, 3 patients still survived. Conclusion Pulmonary lobectomy or pneumonectomy and partial left atrium resection can improve the surgical resection rate and extend the survival time of locally advanced lung cancer.