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本文报告了自1975年6月～1990年12月对17例孤立性肺转移瘤手术治疗的初步临床结果。认为,其原发瘤来自女性生殖系统者居多,占65％。原发肿瘤术后定期胸部X线检查对本病诊断有决定性意义。手术治疗的重要问题是对病人的选择。对原发肿瘤组织学条件好,治疗后局部情况稳定,肺内转移局限并能耐受手术者,手术切除是有益的。本组3年、5年生存率均为66.6％。并提出了对肺转移瘤的切除做为肿瘤的减量或减症的手术概念。转移瘤的肺门,纵隔累犯明显影响预后。
This article reports the preliminary clinical results of 17 surgical treatment of solitary pulmonary metastases from June 1975 to December 1990. It is believed that the majority of primary tumors originating from the female reproductive system account for 65%. The regular chest X-ray examination of the primary tumor after surgery is decisive for the diagnosis of this disease. The important issue of surgical treatment is the choice of patients. For primary tumors with good histological conditions, stable local conditions after treatment, limited lung metastases, and ability to tolerate surgery, surgical resection is beneficial. The 3-year and 5-year survival rates in this group were 66.6%. The surgical concept of resection of lung metastases as a reduction or reduction of tumors was proposed. Metastatic hilar, mediastinal complications significantly affect the prognosis.