高龄肺癌患者的外科治疗

Aged lung cancer patients treated by surgery

目的探讨高龄肺癌患者的外科治疗效果及减少并发症的方法与改善预后的措施。方法对外科治疗的116例高龄(>75岁)原发性肺癌患者,分析其手术效果及并发症和预后,探讨减少外科治疗并发症的发生及改善预后的的方法。结果高龄肺癌患者首发症状多为咳嗽、胸痛、血痰和发热;术前并存症及术后并发症较高。结论在严格掌握适应症的前提下进行外科治疗,可提高高龄肺癌患者的生存率;正确处理合并症及术后并发症、加强术后监护是改善预后的关键。

Objective To analyze to decrease surgical complications and to improve patients prognoses of treatment of lung cancer of aged.Methods 116 cases of aged lung cancer patients（more than 75 years old） treated by surgery were retrospectively analyzed.Results The first symptoms of aged lung cancer patients were usually cough,chest pain,hemoptysis and fever.Combined diseases before surgery and complications after surgery were high.Conclusion Surgical treatment in the case of strictly controlling indications can increase survival rate of aged lung cancer patients.To correctly deal with combined diseases before surgery and complications after surgery and to enhance after surgery monitoring are the keys to improve prognoses.