摘要
目的 探讨晚期肺癌外科治疗的疗效。方法 总结1989-2001年155例晚期肺癌外科治疗的临床经验。结果 术后1、3、5年的生存率分别为70.3%、24.5%、7.1%,中位生存率为21个月。结论 ①晚期肺癌的某些转移或侵犯的症状及体征,并不是手术的绝对禁忌症。②术中应注意观察SAO2及CO2浓度等重要指标的改变;术中即使出现R(+)现象,手术仍具临床价值;术中配合多种现今先进的手术方式,能达到理想的治疗目的。③术后应严密监测及积极处理并发症。④病理分期是影响5年生存率的主要因素。⑤开展晚期肺癌的外科治疗,是对肺癌进行综合治疗的一个重要手段。
Objective To study the clinical effects of advanced lung cancers treated withsurgical resections. Methods 155 cases with advanced lung cancer were treated with surgical resectionin our hospital from June 1989 to Dec. 2001.Results The overall 1-year, 2-year and 5-year survivalrates were 70.3%, 24.5% and 7.1% respectively after resection, and the median survival period was 21months.Conclusion 1) some metastasize symptoms and signs of advanced lung cancer were not absolutelythe surgical contraindication. 2) Sao2, CO2 and other important indexes must be observed carefullyduring the operation; And though the R(+) phenomena appeared during operation, surgical resection wasstill effective significantly; Good results could be obtained by using modern surgical methods duringoperation. 3) Complications must be treated promptly after operation. 4) Pathologic stage was the mainfactor affecting the 5-year survival rate. 5) Surgical resection was a important way for advanced lungcancer among all measures..
出处
《国际医药卫生导报》
2003年第14期35-37,共3页
International Medicine and Health Guidance News
关键词
外科治疗
肺肿瘤
生存率
Surgical Treatment Lung neoplasms Survival Rate
