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目的:分析外科手术治疗肺癌的疗效及其生存率。方法:选取我院2001年1月～2009年1月期间采用手术治疗的肺癌患者50例,对其术前诊断、手术适应证及手术方法等资料进行回顾性分析。结果:所有患者中,2例因各种原因而无法实施切除术,仅采取活检术及剖胸探查术,3例进行了姑息性切除术,总切除率为96%。另外,1例于围手术期死亡,死亡率为2%。对50例的随访中,40例在术后1年存活,术后1年的生存率为80%,10例在术后5年存活,术后5年的生存率为20%。结论:对癌肿的生物学特性进行准确判定,术前对患者的心、肺功能以及免疫系统功能进行准确评估,术后做好心肺功能监测护理,时刻注意对肺部进行健康保护,指导患者进行科学的呼吸道护理,帮助患者正确排痰,能够提高大大提高肺癌的手术切除成功率,并有效降低并发症。
Objective: To analyze the efficacy and survival rate of surgical treatment of lung cancer. Methods: Fifty patients with lung cancer undergoing surgery from January 2001 to January 2009 in our hospital were selected for retrospective analysis of their preoperative diagnosis, surgical indications and surgical methods. Results: In all patients, 2 patients were unable to perform resection for various reasons. Only biopsy and thoracotomy were performed. Palliative resection was performed in 3 patients. The total resection rate was 96%. In addition, 1 patient died perioperatively with a 2% mortality rate. Among the 50 patients, 40 patients survived 1 year after operation, the survival rate was 80% at 1 year after operation, and 10 patients survived 5 years after operation. The survival rate at 5 years after operation was 20%. Conclusion: The biological characteristics of cancer were accurately determined. The heart, lung function and immune system function of patients were accurately evaluated before operation. Heart and lung function monitoring and nursing were performed after operation. At all times, the patients should pay attention to the health protection of the lungs and guide the patients Conducting scientific respiratory care to help patients correctly phlegm, can greatly improve the success rate of surgical resection of lung cancer, and reduce complications.