支气管癌肺切除术后脓胸对患者生存的影响

Influence of Postpneumonectomy Empyema on Survival of Patients with Bronchogemc Carcinoma

1978～1985年间,492例支气管癌病人接受肺切除术,术后发生脓胸25例(5.1％),5年生存率为32.0％,对照组(无脓胸)36.0％。本文病例研究和文献复习不能证明支气管癌肺切除病人术后脓胸能改善生存期。指出早期外科切除是提高肺癌生存期最有效的方法。

From 1978 to 1985, 492 patients with bronchogenic carcinoma underwent pneumonectomy. The overall 5-year survival of these 25 patients was only 32.0%, comparted with 36.0% in those for paired controls without empyema. We were unable to demonstrate by a study of our cases or by a review of the literature that postoperative empyema favorably influences survival of patients with bronchogenic carcinoma who Lave had pulmonary resection. It may be suggested that early surgical resection is the most effective therapy for enhancing survival rate of patients with bronchogenic carcinoma.