论文部分内容阅读
目的：分析晚期非小细胞肺癌外科治疗的效果。方法：对Ⅲａ 期（ Ｔ３ 或 Ｎ２）６０ 例病人，行原发癌的切除及纵隔淋巴结的清扫；对于Ⅲｂ 期（ Ｔ４ 或 Ｎ３ ）３３ 例病人，行原发癌的切除或放疗；Ⅳ期病人，行原发癌及单发转移癌的切除和化疗。结果：Ⅲａ 期病人生存率为 ５８３３％ ；Ⅲｂ 期病人生存率为２４２４％ ；Ⅳ期 ２ 例病人综合治疗后长期存活。结论：对Ⅲａ 期病人积极的外科治疗可获满意疗效，Ⅲｂ 期病人疗效不佳，部分Ⅳ期病人积极的外科及综合治疗后长期存活。
Objective: To analyze the effect of surgical treatment of advanced non-small cell lung cancer. METHODS: Primary resection and mediastinal lymph node dissection were performed in 60 patients with stage IIIa (T3 or N2); in 33 patients with stage IIIb (T4 or N3), primary cancer resection or radiotherapy was performed; stage IV patients , Primary cancer and single metastatic cancer resection and chemotherapy. Results: The survival rate in stage IIIa patients was 5833%; the survival rate in stage IIIb patients was 2424%; long-term survival was achieved after comprehensive treatment in 2 patients in stage IV. Conclusion: The positive surgical treatment of stage IIIa patients can achieve satisfactory results, and the efficacy of stage IIIb patients is poor. Some patients with stage IV have long-term survival after active surgery and comprehensive treatment.