高龄肺癌患者145例的外科治疗

Surgical Treatment of Lung Carcinoma in the Elder

目的：探讨老年人肺癌的外科治疗。方法：对１４５例老年人肺癌外科手术治疗病例进行回顾性分析。结果：１４５例中１１４例手术切除肿瘤（７８．６％），３１例开胸探查但未能切除肿瘤（２１．４％）。肿瘤切除组病人术后１年、３年和５年生存率分别为８７. ８％、６９％、３７．２％，效果满意。结论：加强围术期治疗对提高老年人肺癌手术治疗机会和手术治疗效果非常重要。

Objective: To study the surgical treatment of lung carcinoma in aged people. Methods: A retrospective analysis was conducted based on the data of 145 old patients with lung carcinoma who received surgical treatment. Results: Surgical removement of the tumor was performed in 114 cases(78.6%). Thoracotomy was performed but the tumor was not tremoved in 31 cases(21.4%). In patients with the tumour removed 1, 3, and5-years survival rates were 87.8%, 69.0% and 37.2%, respectively. Conclusion: Perioperative intensive treatment is very important for the increase of the operative chance and the surgical effectiveness in old Patients with lung carcinoma.