原发性支气管肺癌的外科治疗──154例临床疗效分析

Surgical Treatment of Lung Cancer -A Report on 154 Cases

本文报告１５４例原发性支气管肺癌外科治疗结果：手术切除率（１２４／１５４）８０．５％，合并症发生率（１２／１５４）７．８％，手术死亡率（２／１５４）１．３％。全组１２４例，按ＵＩＣＣ－Ｐ－ＴＮＭ分期：Ⅰ期１６例（１２．９％），Ⅱ期２７例（２１．８％），Ⅲａ期７７例（６２．ｌ％），Ⅲｂ期３例（２．４％），Ⅳ期１例（０．８％）。切除术后二年生存率（５９／１１３）５２．２％，五年生存率（１９／６３）３０．２％。影响术后生存率的主要因素是分期和病理类型。早期发现和治疗，以外科为主的综合治疗是提高肺癌治疗效果的关键。

Abstract Resulte of surgical treatment of 154 case of Lung Cancer from 1981 to 1991 are rePOrted. theResectability was (124/154) 80. 5 % the Compericatability was (12/154) 7. 8%. the Postoperativemortality was (2/154) 1. 3%. the 2, 5-Years Postoperative Surviral rate were (59/113) 52. 2%,(19/63) 30. 2%. Amony 154 cases. 75 cases were Squamous (48. 6%). 52 case were Adenomous(33. 7% ). 13 cases were Small-cell (8. 4%). there were 16 cases of Stage Ⅰ, 27 cases of StageⅡ, 77caes of Stage Ⅲa, 3 cases of Stage, Ⅲ, 1 caes of Stage Ⅳ, according to P-TNM Stage System by UICC. The major factor which influenced Sutwval rate were P-TNt Stage system andHystological cell type. More effective Combination Therapy is imPOrtance for increate the Survivalrate of Lung cancer.