论文部分内容阅读
本文报告了我院1967年6月～1981年12月274例原发性肺癌外科治疗结果,根治性切除的5年、10年生存率分别为43.4％及32.4％。着重讨论了肺癌的组织学类型、病期与切除范围对预后的影响,认为腺癌总的预后较鳞癌差,但对于能行根治术的病例来说,这两种组织类型对预后特别是10年以上的预后影响不大。按照AJC PTNM分期,越是早期,外科治疗效果越好。肺叶切除仍为首选的外科方法,全肺切除也是一种能取得长期疗效的方式。对于不能根治切除的病例,姑息切除加术后放射是一值得继续探讨的方法。
This article reports the results of surgical treatment of 274 primary lung cancer cases from June 1967 to December 1981 in our hospital. The 5-year and 10-year survival rates for radical resection were 43.4% and 32.4%, respectively. Focus on the impact of histological type, disease stage and resection range of lung cancer on prognosis. It is considered that the overall prognosis of adenocarcinoma is worse than that of squamous cell carcinoma, but for those who can undergo radical resection, the two tissue types are particularly important for prognosis. The prognosis of more than 10 years has little effect. According to the AJC PTNM staging, the earlier the earlier, the better the surgical treatment. Lobectomy is still the preferred surgical method, and pneumonectomy is also a way to achieve long-term efficacy. Palliative excision plus postoperative radiation is a method worthy of further investigation for cases that cannot be radically resected.