摘要
[目的]探讨Ⅰ期肺癌根治术后转移复发的特点 ,为术后转移和复发的治疗提供依据。[方法]对经过5年随访的Ⅰ期肺癌根治术后18例患者进行随访和分析。[结果]转移和复发发生率Ⅰa 期低于Ⅰb 期 ,手术加化疗组与手术加免疫组相仿。腺癌转移和复发率高于鳞癌。[结论]早期发现和治疗仍是预防Ⅰ期肺癌转移和复发的关键 ,手术后应定期随访 ,及时治疗以提高生存率。
To discuss the characteristic of metastasis and relapse after radical resection of stage I lung cancer and provide basis for the treatment.Eighteen patients of stage I lung cancer were followed up by five years after radical resection.The incidence of metastasis and relapse of stage Ia was lower than that of stage Ib.The group using chemotherapy after operation had the same incidence of metastasis and relapse as the group using immunotherapy after operation.Adenocarcinoma occurred metastasis and relapse more easily than squamous carcinoma.[Conclusion]Early diagnosis and treatment are still the key points to prevent the metastasis and relapse of stage I Lung cancer.We should follow up the patients after operation,and provide treatment in time,then the survival rate could be increased.
