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外科治疗在老年早期小细胞肺癌治疗中的意义

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摘要 目的探讨不同的治疗方式在早期小细胞肺癌(SCLC)治疗中的意义。方法回顾性分析2010年1月至2013年1月,于该院初诊并治疗的74例老年早期SCLC患者的病历资料,通过统计治疗后总有效率(CR+PR)及生存率对所选病例进行分析。结果疗效评价按实体肿瘤的疗效评价标准(RECISTl.1)进行。手术组总有效率(CR+PR)为96.8%,非手术组为93.0%。手术组与非手术组1、2年生存率无明显差异(P>0.05),3年生存率手术组优于非手术组(P<0.05)。手术组内分析:Ⅰ期~Ⅱa期生存率无差异,Ⅱb期生存率明显降低,差异有统计学意义(P<0.05)。结论在老年早期SCLC患者治疗方案的选择中,手术治疗联合化疗或联合化疗+放疗的治疗手段能明显延长SCLC患者生存时间。肿瘤TN分期对早期SCLC的预后均有明显影响。
作者 赵晖 曲明江 贾春祎 王启文 张立新 张晓凯 王宝
机构地区 吉林省肿瘤医院胸外二科
出处 《中国老年学杂志》 CAS CSCD 北大核心 2015年第4期994-995,996,共3页 Chinese Journal of Gerontology
关键词 小细胞肺癌 治疗方式 生存率
分类号 R734.2 [医药卫生—肿瘤]
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参考文献12

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中国老年学杂志
2015年 第4期

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