以手术为主综合治疗肺癌合并胸腔积液62 例报告

The Clinical Study of Operation-Primary-Multi-Therapy on Lung Cancer with Pleural Effusion

摘要: 目的　探讨肺癌合并胸腔积液的治疗方法。方法　手术, 含顺铂 1 μg/ml低渗液热疗(43～ 45℃胸腔浸泡 30～ 45min), 胸腔保留丝裂霉素, 5-氟脲嘧啶, 术后一个月化疗一个疗程, 结果术后并发症 1 0例, 死亡 1例, 症状缓解率 94%以上。术后生存率一年的 93.4% (58/62 ), 五年 9.7%(6/62 )。结论　“手术 +热疗 +化疗综合治疗肺癌合并胸腔积液是一种比较合理和理想的积极治疗措施, 明显提高了患者的生存率和生存质量。”

Abstract: Objective To explore the treatment method on lung cancer with pleural effusion.Method The multi therapy of operation,thermotherapy and chemotherapy were used to treat 62 cases of Lung cancer with pleural effusion.During operation the pleura was immersed in the hypoisotnic solution of Cisplatin(1μg/ml)for 30 to 45 minutes at 43℃ to 45℃.Then Mitomycin and 5-Floxuridine were retained in the thoracic cavity a period of chemotherapy were applied one month after operation. Results Postoperative complications occu...