The applications of bronchial pulmonary artery angioplasty in elderly patients with central lung cancer
10.3760/cma.j.issn.1008-6706.2014.22.006
- VernacularTitle:支气管肺动脉成形术在老年人中央型肺癌治疗中的应用
- Author:
Ruigang ZHAO
- Publication Type:Journal Article
- Keywords:
Lung neoplasms;
Bronchial angioplasty;
Pulmonary artery angioplasty
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(22):3373-3375
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effectiveness of bronchial pulmonary artery angioplasty in elderly patients with central lung.Methods 78 elderly patients with central lung were randomly divided into two groups,the control group(n=39) and the observation group(n=39).The patients in the control group were operated through pneumonectomy,while the observation group was operated through bronchial pulmonary artery angioplasty.1,3,5-year survival rates were compared.Incidence of postoperative complications were counted.The changes in pulmonary func-tion after 3 months were determined.Results The survival rates in the control group were 66.7%(26/39),46.2%(18/39),30.8%(12/39) and 79.5%(31/39),56.4%(22/39),38.5%(15/39) in the observation group.The survival rates of the observation group were significantly higher (χ2 =6.17,7.06,4.82,all P<0.05).The control group had 11 cases of complications after surgery,the rate was 28.2%.The observation group had 4 cases of postoper-ative complication,the rate was 10.1%.The incidence of complications in the observation group was significantly less than that of the control group (χ2 =6.32,P<0.05).There was no significant difference (t=0.72,0.11,0.39,all P>0.05) between the two groups before treatment about FVC,PEF and FEV1.After treatment,FEV1,FVC,PEF were significantly improved (t=5.92,7.92,4.11,7.01,5.99,6.82,all P<0.01).The degree of improvement in the observation group was higher than that of the control group (t=2.84,2.77,3.28,all P<0.05).Conclusion Bron-chial pulmonary artery angioplasty has significantly fewer complications,can be further improved lung function in eld-erly patients with central lung cancer.
