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N_2肺癌159例外科治疗及随访观察

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摘要 1987~1993年施行肺癌手术426例。术后病理证实N_2肺癌159例。中心型81例,周围型78例。根治手术135例,姑息手术24例。随访:1年生存率71.1%,3年生存率29%,5年生存率21.7%。根治手术5年生存率24.5%,姑息手术3年生存率18.8%。本文认为肺癌手术进行纵隔淋巴结广泛清除是必要的。影响N_2肺癌手术效果的主要因素有肿瘤细胞类型、转移淋巴结数量和部位及手术根治程度;肿瘤T分级对预后不构成主要影响。肺门或纵隔有团块状淋巴结不作为手术适应证。
出处 《沈阳部队医药》 1996年第1期6-8,共3页
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