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本文目的在于评价全肺切除术对晚期肺癌生存率的影响。自1970年2月~1995年10月，我科以全肺切除术治疗晚期肺癌108例，其中心包内处理血管41例（38％）。45例行右全肺切除，63例行左全肺切除。根治性全肺切除89例（82．4％），姑息性全肺切除19例（17．6％）。本组108例术后5年生存率为28．6％，其中非小细胞癌5年生存率为37，4％，未分化小细胞肺癌无一例生存满5年者。作者认为晚期肺癌行全肺切除术，能提高手术切除率和5年生存率，并为术后放疗、化疗创造条件。本文提出对Ⅲ期未分化小细胞肺癌不宜行全肺切除。
The purpose of this article is to evaluate the effect of pneumonectomy on the survival rate of advanced lung cancer. From February 1970 to October 1995, 108 patients with advanced lung cancer were treated by pneumonectomy in our department. 41 patients (38%) were treated with blood vessels in the center. Forty-five patients underwent right pneumonectomy and 63 patients underwent left pneumonectomy. Thirty-nine patients (82.4%) had radical pneumonectomy and 19 (17.6%) had palliative pneumonectomy. The 5-year survival rate in this group of 108 patients was 28.6%, and the 5-year survival rate of non-small cell carcinoma was 37.4%. None of the undifferentiated small cell lung cancer had survived for 5 years. The authors believe that pneumonectomy for advanced lung cancer can improve the resection rate and 5-year survival rate, and create conditions for postoperative radiotherapy and chemotherapy. This article proposes that pneumonectomy should not be performed for stage III undifferentiated small cell lung cancer.