细支气管肺泡癌临床治疗效果探讨

Disscussion of clinical treatment of patients with bronchioloalveolar carcinoma

目的:探讨细支气管肺泡癌(bronchioloalveolarcarcinomaBAC)外科临床治疗效果。方法:分析85例BAC患者的手术治疗效果及影响因素。结果:单因素分析显示,除性别及吸烟外,症状(χ2=21.04)、X线表现(χ2=18.34)、手术方式(χ2=19.21)、切除程度(χ2=11.62)、T分期(χ2=37.58)和淋巴结转移情况(χ2=70.44)等均对5年生存率有显著影响,P<0.001。而Cox多因素回归分析只有症状、切除程度和淋巴结分期影响手术后患者的5年生存率,P<0.05。结论:没有症状、淋巴结分期早及根治性手术切除的BAC患者预后较好。

OBJECTIVE：To explore the effect of surgical treatment of bronchioloalveolar carcinoma （BAC）. METHODS.. The data of 85 patients with bronchioloalveolar carcinoma were collected and analysed. RESULTS： Except for gender and smoking, six factors were significant, P〈0. 001, in univariate analysis, but in Cox＇s multiple regressions, only three factors remained significant, P〈0. 05, which were symptoms, completeness of resection, and lymphnode stage. CONCLUSION： The BAC patients with asymptom, early-stage of lymph node, early-diagnosis, and complete surgical resection have a better prognosis.