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209例晚期肺癌外科治疗分析

ADVANCED LUNG CANCER: ANALYSIS OF 209 CASES

  • 摘要: 本文就外科治疗晚期肺癌(Ⅲ、Ⅳ期)进行了分析。见女性随年龄增高而相对减少。鳞癌随年龄增高而相对增加;小细胞癌则相对减少。本组腺癌最多96例(45.9%);鳞癌次之87例(41.6%);小细胞癌14例(6.7%);其它型癌12例(5.8%)。术后生存率老年人最高,青年人最低。但同时期外科治疗早期、较早期(Ⅰ、Ⅱ期)肺癌术后生存率无统计学差异。提示青年人肺癌外科治疗更要强调“两早”,而老年人肺癌只要严格选好适应症,尽管晚期外科疗效也很满意。

     

    Abstract: Two hundred and nine patientps with advanced lung cancer (Stages Ⅲ and Ⅳ) were analyzed. Of these male patients were 115 cases and female-54. The raiio of malc to femal was 2.9: 1. The incidence of female patients decreased with aging. The pathological types include, adenocarcinoma 96, squamaous carcinoma 87, small cell carcinoma 14 and 12 patients with the other type of lung cancer, We found out that the incidence of squamaous cancer increased relatively with aging, but the incidence of small cell carcinoma decreased with aging. The Survival rates of 1, 2, 3 years after operation were 46.40%, 24.1% and 15.3% respectively. The survival rate was higher in old patient group (60) and lower in junior patient group (40).

     

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