摘要
目的探讨技术的进步对肺癌外科治疗的影响。方法收集2005年和2015年中国医学科学院肿瘤医院胸外科手术治疗非小细胞肺癌患者的临床资料,2005年纳入510例患者,2015年纳入1235例患者。回顾性分析2005年和2015年患者的人群分布、手术方式和治疗效果的差异。结果2005年和2015年患者的男性比例(分别为79.0%和55.8%),吸烟比例(分别为52.9%和30.1%),鳞癌比例(分别为50.2%和22.4%)、胸腔镜手术比例(分别为0和61.1%)、I期患者比例(分别为15.2%和36.8%)、淋巴结清扫枚数(分别为21.8和16.6枚)、术中输血率(分别为9.6%和1.9%)、姑息切除率(分别为7.5%和2.O%)、术后平均住院日(分别为10.8和7.6d)比较,差异均有统计学意义(均P〈O.05)。患者的平均年龄和手术时间差异均无统计学意义(均P〉O.05)。结论与2005年相比.2015年肺癌手术的人群分布、手术技术和手术方式均发生了显著改变.
Objective To study the impact of the advance of the times and technological progress on the surgical treatment of lung cancer. Methods The data of patients with non-small cell lung cancer treated by thoracic surgery at Cancer Hospital of Chinese Academy of Medical Sciences from 2005 to 2015 were retrospectively analyzed. The population distribution, operation methods and treatment results were analyzed retrospectively. Results 510 patients (in 2005) and 1 235 (in 2015) non-small cell lung cancer patients were included in this study. The proportions of male patients (79.0% vs. 55.8% ), smoking (52.9% vs. 30.1%) , squamous cell carcinoma (50.2% vs. 22.4%) and video-assisted thoracoseopie surgery (VATS) (0 vs. 61.1%) ,stage I ( 15.2% vs. 36.8%), the number of lymph node dissection (21.8 vs. 16.6), intraoperative blood transfusion rate (9.6% vs. 1.9%) , palliative resection rate (7.5% vs. 2.0%) , the average length of stay ( 10.8 d vs. 7.6 d) were significantly changed. There was no significant difference in the average age of patients and operation time. Conclusion There was a significant change in the distribution of population and surgical techniques in patients undergoing lung cancer surgery in last ten years.
作者
李宁
谭锋维
邱斌
李嘉根
赵峻
高禹舜
王大力
毛友生
薛奇
牟巨伟
高树庚
赫捷
Li Ning;Tan Fengwei;Qiu Bin;Li Jiagen;Zhao Jun;Gao Yushun;Wang Dali;Mao Yousheng;Xue Qi;Mu Juwei;Gao Shugeng;He fie(Department of Thoracic Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China)
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2018年第4期300-302,共3页
Chinese Journal of Oncology
关键词
肺肿瘤
技术进步
外科
手术
Lung neoplasms
Development
Surgery
Operation