老年人肺癌320例分析

Analysis of 320 Cases of the Aged Lung Cancer

目的 :研究老年人肺癌的临床特点、误诊原因及治疗方法。方法 :回顾性分析 1980～ 1999年收治的≥ 60岁肺癌 32 0例临床资料。结果 :老年人肺癌占同期肺癌的 38.0 % ,男女之比为 3∶1。临床表现以咳嗽 ( 82 .8% )、咯血 ( 4 1.0 % )、胸痛 ( 2 6.9% )、胸闷 ( 36.6% )常见 ,全身症状 75.5%和肺外表现4 3 4 %亦多见。误诊原因主要是肺外症状多、伴随基础病多、辅助检查无特异性。老年人肺癌总的 5年生存率 15.6% ,综合治疗、单纯手术、放疗、化疗及其他治疗 5年生存率分别为 30 .0 %、2 0 .0 %、5.6%、0、0。结论 :老年人肺癌发病率高 ,女性发病率上升应重视 ,掌握其临床特点 ,结合合理的辅助检查可望减少误诊。治疗方法以手术为主的综合治疗为首选。

Objective To investigate the clinic peculiarity,the cause of misdiagnosis and the therapy of the aged lung cancer.Methods To review 320 cases aimc decta of the aged lung cancer over 60 yrs in period of 1980-1999.Results the aged lung cancer was 38.0% of the total lung cancer over 70 yrs in the same term.The ratio of male and female was 3 to 1. The clinic manifestation mainly was cough (82.8%),hemoptysis (41.0%) ,shest pain(26.9%) and depressed(36.6%).Systemic symptoms 75.5% and symptoms out of lung 43.4% symptoms of system also occured frequently.The case of misdiagnosis was a lot of symptoms out of lung,basal diseases and without special assistant examination.The existent rate of five years of the aged lung cancer was 15.6%,synthetic therapy 30.0%,simple peration 20.0%,adiotherapy 5.6%,chemiotherapy 0 and the others 0.Conclusions The aged lung cancer had high morbility,and the female morbidity rising examination,could we reduce misdiagnosis,Its therapy should be taken into accout;To master its peculiarity, combine with assistant should mainly be operation with synthetic method.