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我科从1979年4月至1994年7月共行支气管成形术治疗中央型肺癌74例,使部分高龄病人或心肺功能不全难以耐受一侧全肺切除的病人获得了手术切除的机会,改善了生活质量,降低了死亡率。现报告如下: 1 临床资料 本组74例中,男性67性,女性7例;年龄18～68岁,平均年龄54.3岁。病理类型:鳞癌56例,腺癌12例,粘液表皮样癌,小细胞未分化癌各1例。根据1989年国际抗癌联盟(VICC)确定的国际分期:Ⅰ期35例,Ⅱ期20例,Ⅲ A期19例。手术方式:袖式右上肺叶切除29例,左上肺袖式切除10例,支气管楔状切除成形右
In our department, from April 1979 to July 1994, a total of 74 cases of central lung cancer were treated with bronchoplasty, which made it possible for some elderly patients or patients with cardiopulmonary insufficiency to tolerate one-sided pneumonectomy to obtain surgical resection opportunities. The quality of life reduces mortality. The report is as follows: 1 Clinical data In this group of 74 cases, male 67 were sexual, female 7; aged 18 to 68 years, mean age 54.3 years. Pathological types: 56 cases of squamous cell carcinoma, 12 cases of adenocarcinoma, mucoepidermoid carcinoma, 1 case of small cell undifferentiated carcinoma. According to the international staging as determined by the International Union Against Cancer (VICC) in 1989: 35 cases in phase I, 20 in phase II, and 19 in phase IIIA. Surgical methods: Sleeve type right upper lobe resection in 29 cases, left upper lung sleeve removal in 10 cases, bronchus wedge resection right