目的　通过 1 0 6例肺癌外科治疗 ,分析 ,总结可行术式及辅助治疗方法。方法　自 1 988年 1月至 2 0 0 1年8月 ,手术治疗肺癌 1 0 6例 ,全肺切除术 2 0例 ,肺袖状切除术 6例 ,肺叶切除 59例 ,肺楔形切除 4例 ,开胸探查术 1 4例 ,胸腔镜下取活检术 1例 ,合并脑转移 4例 ,胸膜剥脱术 2例 ,心包部分切除术 1例 ,肺动脉成形术 2例 ,上腔静脉成形术 1例。结果　手术死亡率 0 .6% ,手术切除率 85.9% ,手术探查率 1 4 .1 % ,误诊率 1 2 % ,1年存活率 84% ,3年存活率 2 4 % ,5年存活率 5% ,1 0年存活率 1 % ,结论　应重视肺癌早期诊断 ,早期手术。肺袖状切除术是治疗肺癌较好术式 ,肺癌合并恶性胸水 ,手术效果差。术后综合治疗可提高手术效果 ,肺癌累及血管及心包 ,不可轻易放弃手术 Objective Through 106 surgical treatment of lung cancer, analyze and summarize feasible surgical procedures and supplementary treatment methods. Methods From January 1988 to August 2001, surgical treatment of 106 lung cancer cases, 20 cases of pneumonectomy, 6 cases of pulmonary sleeve resection, 59 cases of lobectomy, 4 cases of wedge resection of the lung Fourteen patients underwent thoracotomy, one underwent thoracoscopic biopsy, four with brain metastases, two with pleural exfoliation, one with pericardial resection, two with pulmonary arterioplasty, and one with superior vena cava plasty. . Results The surgical mortality rate was 0.6%, the surgical resection rate was 85.9%, the surgical exploration rate was 14.1%, the misdiagnosis rate was 12%, the 1-year survival rate was 84%, the 3-year survival rate was 24.%, and the 5-year survival rate was 5 %, survival rate of 1% in 2010, the conclusion should attach importance to early diagnosis of lung cancer, early surgery. Pulmonary sleeve resection is a better treatment for lung cancer, lung cancer with malignant pleural effusion, poor surgical results. Postoperative comprehensive treatment can improve the effect of surgery, lung cancer involving vascular and pericardial, can not easily give up surgery