肺癌姑息性切除58例分析

The Indications of Palliative Resection&Prognosis of Lung Cancer-A Report of 58Cases

目的:探讨中晚期肺癌外科手术的意义及影响预后的因素。方法:均采用外科手术尽量切除肿瘤,术后辅以放疗及化疗。结果:手术治疗疗效明显优于保守疗法,半年、1年、2年、3年生存率分别为96.6%(56/58)、84.5%(49/58)、69.0%(40/58)、48.3%(28/58)。结论:姑息性肺癌切除结合放化疗具有重要临床意义,可明显改善预后,提高中晚期肺癌患者生存期。

Objective:To explore the indications of surgical treatment of middle and ad-vanced lung cancer and the influencing factors of prognosis.Methods:All patients were treated with palliative resection(try best to excise all the tumor)plus postoperative radiation and chemotherapy.Results:The effect of palliative resection plus combined radiation and chemotherapy was far better than conservative treatment.The1/2-,1-,2-,3-year survival rates were96.6%(56/48),84.5%(49/58),69%(40/58),48.3%(28/58)respectively.Conclusion:Pallia-tive resection plus postoperative radiation and chemotherapy is of important clinical significance in treating middle and advanced lung cancer;it not only can improve the prognosis but also it can increase the survival time of the patients.