影响小细胞未分化肺癌生存的预后因素

PROGNOSTIC FACTORS OF SMALL-CELL LUNG CANCER

1978年元月至1990年12月我院共收治小细胞未分化肺癌508例,对其作较长期生存率的统计及预后因素分析。结果生存1年171例(33.7％),2年60例(11.8％),3年43例(9.6％)。影响小细胞未分化肺癌较长期生存的一般因素为病人的性别、病变范围、治疗方式及首次症状至治疗开始的间隔时间等。但根据本文已死亡的465例死因分析,90％以上死于生命重要器官的广泛转移,这是影响小细胞未分化肺癌预后的最主要因素。

Five hundred and eight patients were admitted from 1987 to 1990. The 1-, 2- and 3- year survival rates were 33. 7%(171), 11. 8% (60) and 9. 6% (43), respectively. Factors affecting the survival were sex, age, extent of lesion, modality of therapy, interval between the on set and treatment, etc. However, in our material, the major cause of death was wide metastases to the vital organs (90%-465/508).