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目的 :探讨老年肺癌病人的临床特点。方法 :回顾性分析 5 6例老年肺癌病人的临床资料 ,并按年龄段分成两组 ,60～ 70岁为A组 ,70～ 80岁为B组 ,分析两组间病人的首发症状及病理类型。结果 :5 6例老年肺癌患者中鳞癌为 3 5例 ,A、B两组之比为2 4 11,腺癌 13例 ,两组之比为 11 2 ,其他类型非小细胞癌 8例 ,两组之比为 8 0。首发症状以咳嗽、咳痰为主 ,其次为胸闷、气促、胸痛、咯血、血痰。 5 6例中手术治疗仅 14例 ,局部化疗 11例 ,全身化疗 13例 ,介入治疗 7例 ,其他治疗 3例 ,8例放弃治疗。结论 :老年肺癌中多数为鳞癌 ,首发症状不典型 ,诊断较为困难 ,多数已失去手术时机。提高早期诊断率 ,采取有效治疗 ,对老年肺癌预后有重要意义
Objective: To investigate the clinical features of elderly patients with lung cancer. Methods: The clinical data of 56 elderly patients with lung cancer were analyzed retrospectively. The patients were divided into two groups according to their age. Group A was 60-70 years old and Group B was 70-80 years old. The first symptom and pathological type of the patients were analyzed . Results: There were 35 cases of squamous cell carcinoma in 56 elderly patients with lung cancer. The ratio of A to B was 24,11 and that of adenocarcinoma was 13. The ratio of the two groups was 11 2, and the other types of non-small cell carcinoma were 8, The ratio between the two groups is 80. The first symptom of cough, sputum-based, followed by chest tightness, shortness of breath, chest pain, hemoptysis, bloody sputum. Fifty-six patients underwent surgical treatment in only 14 cases. Local chemotherapy was performed in 11 cases, systemic chemotherapy in 13 cases, interventional therapy in 7 cases, other treatment in 3 cases and in 8 cases for treatment abandonment. Conclusion: The majority of elderly patients with lung cancer squamous cell carcinoma, the first symptom is not typical, the diagnosis is more difficult, most have lost the timing of surgery. Improve the early diagnosis rate, take effective treatment, the prognosis of elderly lung cancer is of great significance