摘要
目的：探讨上腔静脉回流无阻断人工血管置换术在肺癌侵犯上腔静脉患者中的临床疗效.方法：选择我院心胸外科2005年4月至2013年4月收治的3例肺癌侵犯上腔静脉的患者,实施了肺叶/全肺切除＋纵隔淋巴结清扫＋上腔静脉完全切除及人工血管置换术.3例经相关检查,明确肿瘤情况并排除远处转移,确诊前未接受抗肿瘤治疗.结果：所有患者无术中及围术期死亡,术后无脑水肿、人工血管血栓形成、大出血等严重并发症.1例术后7个月死于化疗期并发症；1例于术后13个月后出现脑转移,并于脑转移后25个月死于肿瘤转移（生存38个月）；1例患者术后至今48个月,全身状况良好,影像学检查未发现复发证据.结论：肺癌侵犯上腔静脉可能不是手术的禁忌证。
OBJECTIVE： To explore clinical efficacy of superior vena cava resection with prosthetic replacement for lung cancer. METHOD： 3 Patients with lung cancer were selected in our hospital from April in 2005 to April in 2013. The pneumonectomy was made in the 3 patients. RESULTS： 3 Patients had no death during operation and perioperation. Also there were no cerebral edema, thrombosis and hemorrhage after operation among theln. 1 Case died as complication during chemotherapy period in 7 months after operation. 1 Case had metastatic encephaloma in 13 months after operation and then died, this patient＇ s survival time is 38 months. 1 Case was in good condition. CONCLUSION： Superior vena cava resection with prosthetic replacement is made in appropriate patients closen, which can treat some of the patients eftectivly.
出处
《国际老年医学杂志》
2013年第5期200-202,共3页
International Journal of Geriatrics
关键词
上腔静脉
肺癌
人工血管置换术
Superior vena cava
Lung cancer
Artificial vascular replacement
