老龄肺癌的外科治疗分析

Surgical treatment in old Patients with lung cancer

本文报告老龄肺癌38例，初诊误诊率47．4％。伴咯血者71．05％，伴肺外症状者39.47％。手术切除率78．9％。鳞状细胞癌占71％。本组无1例手术死亡，术后5年生存率37％。作者分析本症的临床特点，手术适应证和手术时机，并提出加强围术期治疗和护理，是提高手术成功的关键。

We performed a tetrospective study intolving 38 old patients with lung cancer. the data were as follows: misdiagnosis rate was 47. 4 % ih the first diagnosis. 71.05% patients were associated with extrapulmonary symptoms. the results showed that 78. 9 % patients were treated by lobectomy. and 71% patients in them had histologically coofirmed squamous cell carcinomas No death caused by operation was seen in this group, postoperative 5-year survival rate was 37%. The data were analyzed with respect to clinical features:operative indications, the chances of operation. and we concluded that potentiating perioperative treatment and care played an important role for successful operation.