摘要
目的探讨肺转移癌外科手术治疗的临床效果。方法2000年1月至2007年12月对38例肺转移癌患者行常规开胸手术34例,胸腔镜下肺叶切除术4例。随访并采用Kaplan-Meier法计算生存率。结果手术切除率100%,无围手术期死亡。术后发生各种心率失常7例(18.42%),呼吸系统并发症11例(28.95%)。1、3、5年生存率分别为73.68%,26.32%和10.53%。结论手术是肺转移癌有效的治疗方法,电视胸腔镜为肺转移癌提供了微创治疗手段。
Objective To evaluate clinical outcomes of surgery treatment for patients with pulmonary metastases. Methods Thirty-eight patients with pulmonary metastases underwent curative pulmonary resection since 2000. Operation was performed through conventional thoracotomy （in 34 patients ） and video-assisted thoracoseopic surgery （VATS） （ in 4 patients）. Patients were followed-up afterward. Survival rate was calculated with Kaplan-Meier method. Results 1,3 and 5 year survival rates were 73.68% ,26.32% and 10.53% respectively. Conclusions Surgery is a good measure for patients with pulmonary metastases. VATS provides a new microtramatic method for such patients.
出处
《现代医学》
2009年第1期12-14,共3页
Modern Medical Journal
基金
江苏省科技厅社会发展重大项目(BS2006005)
关键词
肺转移癌
外科治疗
生存率
pulmonary metastases
surgical treatment
survival rates
