摘要
目的总结分析亚肺叶切除术(肺段切除术、肺楔形切除术)与肺叶切除术对70岁以上老年磨玻璃结节的预后疗效。方法回顾2010年1月—2013年12月期间进行手术切除的243例70岁以上老年磨玻璃型肺癌患者。其中肺段切除术32例,肺楔形切除术112例,肺叶切除术99例,分析3组患者的远期预后。结果全组患者3年总生存率为84.3%;3组患者3年无病生存率(DFS)相似(肺段切除组96.3%、楔形切除组98.9%、肺叶切除组97.3%,P=0.42),3组患者3年总生存率(OS)相近(楔形切除组87.3%、肺段切除组87.9%、肺叶切除组85.3%,P=0.63)。结论 70岁以上老年磨玻璃结节型肺癌患者,亚肺叶切除术(肺段切除术、肺楔形切除术)能取得与肺叶切除术相似的远期预后,亚肺叶切除术可作为70岁以上老年磨玻璃结节可选择地根治性手术。
Objective To summarize and analyze the sublobar resection(segmentectomy of lung and pulmonary wedge resection) or lobectomy in the elderly at 70 and over 70 with lung ground-glass opacities(GGOs) and to evaluate the effects on the prognosis.Methods A retrospective analysis was made to the clinical data of 243 elderly patients at 70 and over70 undergoing surgical resections for lung cancer with GGOs;according to surgical strategy,32 cases were classified into segmentectomy group,99 cases into lobectomy group and 112 cases into wedge resection group;the long-term prognosis of the patients were analyzed.Results The 3-year overall survival(OS) was 84.3%;the 3-year disease free survival(DFS)in each of the 3 groups was similar(96.3%in segmentectomy group,98.9%in wedge resection group and 97.3%in lobectomy group,P=0.42),as well as the 3-year OS in each of the 3 groups(87.3%in in wedge resection group,87.9%in segmentectomy group and 85.3%in lobectomy group,P=0.63).Conclusions Sengmentectomy and wedge resection for lung cancer with GGOs can lead to similar long-term prognosis in elderly patients over 70 years old to lobectomy,they can be taken as the radical surgical treatment.
作者
朱训夏
武韫
吕帆真
沈晓咏
朱正洪
Zhu Xunxia Wu Yun Lyu Fanzhen Shen Xiaoyong Zhu Zhenghong(Department of Thoracic Surgery, Huadong Hospita Affiliated to Fudan University, Shanghai, 200040, P. R. Chin)
出处
《老年医学与保健》
CAS
2017年第3期183-185,共3页
Geriatrics & Health Care
关键词
老年患者
肺癌
磨玻璃结节
亚肺叶切除
elderly patient
lung cancer
ground-glass opacities(GGOs)
sublobar resection