江苏医药
江囌醫藥
강소의약
JIANGSU MEDICAL JOURNAL
2001年
1期
1-2
,共2页
许林%袁方良%俞明锋%邱宁雷%吴维继%周鑫官
許林%袁方良%俞明鋒%邱寧雷%吳維繼%週鑫官
허림%원방량%유명봉%구저뢰%오유계%주흠관
癌支气管原肺切除术自体肺移植
癌支氣管原肺切除術自體肺移植
암지기관원폐절제술자체폐이식
目的探讨应用自体肺移植技术治疗Ⅲ期中心型肺癌的可行性。方法下肺离体后置于肝素溶液中,10分钟后将下肺静脉吻合于上叶静脉残端,再行支气管吻合和肺动脉吻合。静脉、支气管、动脉吻合分别耗时14、13、11分钟,肺动脉阻断时间2.5小时。结果术后3天拔胸管,肺膨胀良好,术后5天患者能下地活动。术后1 个月CT增强扫描显示重植肺血液灌注和回流良好。纤维支气管镜检查吻合口通畅。结论对于心肺功能不能耐受全肺切除的Ⅲ期中心型肺癌病人,可以考虑应用自体肺移植技术。自体肺移植是一种能保全肺组织的肺癌根治术式。
目的探討應用自體肺移植技術治療Ⅲ期中心型肺癌的可行性。方法下肺離體後置于肝素溶液中,10分鐘後將下肺靜脈吻閤于上葉靜脈殘耑,再行支氣管吻閤和肺動脈吻閤。靜脈、支氣管、動脈吻閤分彆耗時14、13、11分鐘,肺動脈阻斷時間2.5小時。結果術後3天拔胸管,肺膨脹良好,術後5天患者能下地活動。術後1 箇月CT增彊掃描顯示重植肺血液灌註和迴流良好。纖維支氣管鏡檢查吻閤口通暢。結論對于心肺功能不能耐受全肺切除的Ⅲ期中心型肺癌病人,可以攷慮應用自體肺移植技術。自體肺移植是一種能保全肺組織的肺癌根治術式。
목적탐토응용자체폐이식기술치료Ⅲ기중심형폐암적가행성。방법하폐리체후치우간소용액중,10분종후장하폐정맥문합우상협정맥잔단,재행지기관문합화폐동맥문합。정맥、지기관、동맥문합분별모시14、13、11분종,폐동맥조단시간2.5소시。결과술후3천발흉관,폐팽창량호,술후5천환자능하지활동。술후1 개월CT증강소묘현시중식폐혈액관주화회류량호。섬유지기관경검사문합구통창。결론대우심폐공능불능내수전폐절제적Ⅲ기중심형폐암병인,가이고필응용자체폐이식기술。자체폐이식시일충능보전폐조직적폐암근치술식。
Objective To assess the a ppli cability of lung autotransplantation tec hnique in the treatment of stage Ⅲ centr al lung cancer.Method The “cutdo wn” lowe r lobe was immersed in heparin solution for 10 minutes.It took 14,13 and 11 minu tes to finish the anastomois of pulomona ry vein,bronchus,and artery.The pulmonar y artery was blocked for 2.5 hours.R esul t On the 3rd day after operation,the che st tube was retreated with the reimplate d lung inflating well.On 5th day,the pat ient could walk around.The reconstructio n of pulmonary vessles and airway were p roved satisfactory in function by CT and brouchofiberscopy one month after opera tion.Conclusion Lung autotranspl antation is an alternative technique with pulmon ary preservation for patients with stage Ⅲ central lung cancer of upper lobe whe n his pulmonary reserve is too low to af ford pneumonectomy.