目的　探讨支气管肺癌切除后支气管切端残余癌的转归。方法　分析本院 1986～ 1996年 35 8例肺癌切除术后 ,切端阳性 38例。随访 3～ 10年以上。结果　 期肺癌病例切端阳性术后复发 ,再放疗或再切除不影响长期生存 ; 期以上肺癌病例切端阳性并有肺门淋巴结转移者均在 5年内死亡。结论　对术后病理证实切端阳性患者 ,应定期检查 ,尽早进行放疗 ,有条件者可再次手术切除复发病灶 Objective To investigate the outcome of bronchial residual cancer after resection of bronchial carcinoma. Methods Eighty-eight cases of lung cancer from 1986 to 1996 were reviewed. 38 cases were positive at the cut end. Follow-up of 3 to 10 years or more. Results: The positive end-of-end recurrence of lung cancer was found in patients with lung cancer. Radiotherapy or re-excision did not affect long-term survival. Lung cancer patients with positive cut-off and hilar lymph node metastasis died within 5 years. Conclusions Patients with positive cut-tip confirmed by postoperative pathology should be checked regularly and radiotherapy should be performed as soon as possible. Those with conditions can be re-surgically relapsed.