论文部分内容阅读
本文回顾性分析我所胸外科1980～1990年间52例气管、支气管成型术在Ⅲ期非小细胞肺癌的治疗作用。全组男性44例，女性8例，平均年龄55岁，52例患者均为中心型癌：鳞癌42例、腺癌6例，鳞腺癌3例，类癌1例，其中Ⅲa期45例，Ⅲb期7例。结果显示：52例患者中3、5、10年生存率分别为25％、21％、8．8％。其中3年以上生存者中除1例类癌外，全部为鳞癌。全组N230例，仅3例存治超过3、5年。本组残端阳性发生率占38％，在残端阳性病例中，伴淋巴转移者无1例长期生存。结论认为：在Ⅲ期非小细胞肺癌中，气管、支气管成形术宜在鳞癌、类癌及非N2病例中严格、慎重的选择性应用。术中残端冰冻检查对成型的效果有相关作用。
This article retrospectively analyzed the therapeutic effects of 52 cases of tracheobronchial plasty in stage III non-small cell lung cancer in our thoracic surgery from 1980 to 1990. The whole group consisted of 44 males and 8 females with an average age of 55 years. 52 patients were of central type: 42 squamous cell carcinomas, 6 adenocarcinomas, 3 squamous cell carcinomas, 1 carcinoid, and 45 patients with stage IIIa. , III b 7 cases. The results showed that the 3, 5, and 10 year survival rates of the 52 patients were 25%, 21%, and 8.8%, respectively. Of the survivors who were more than 3 years old, except for one carcinoid, all were squamous cell carcinomas. In the entire group of N230 cases, only 3 cases survived for more than 3 or 5 years. The prevalence of stumps in this group accounted for 38%. In the stump-positive cases, none of the patients with lymphatic metastasis had a long-term survival. Conclusion: In stage III non-small cell lung cancer, tracheobronchial plasty should be used strictly and carefully in squamous cell carcinoma, carcinoid and non-N2 cases. Intraoperative stump freezing examination has a relevant effect on the shaping effect.