肺癌合并脑转移的病人存活率较差,化疗或放疗对其几乎无影响。由于应用CT能较准确的选择脑孤立性转移灶的病人,致使作者采用肺和脑转移灶一并切除的疗法。本文报道作者治疗20例长期存活和神经症状处理的经验。1975年1月至1982年12月,在773例开胸探查的肺癌病人中,20例(男17例,女3例,年龄33～63岁)做了肺原发癌和脑孤立性转移癌切除。肺叶切 The survival rate of lung cancer patients with brain metastases is poor, and chemotherapy or radiotherapy has almost no effect on them. Because the use of CT can accurately select patients with isolated brain metastases, the authors used the therapy of lung and brain metastases. This article reports the author’s experience in treating 20 cases of long-term survival and neurological symptoms. From January 1975 to December 1982, of 773 patients with lung cancer who had breast exploration, 20 (17 males and 3 females, aged 33-63 years) had primary lung cancer and isolated metastatic brain cancer. resection. Pulmonary cut