非小细胞肺癌术后支气管切缘癌对预后的影响  

Study of residual tumor on the bronchial margin after resection for non-small cell carcinoma of the lung

作　　者：胡小波[1] 王研[1] 崔有斌[1] 孙海[1] 李博[1] 卢喜科[1] 

机构地区：[1]吉林大学第一医院,吉林长春130021

出　　处：《吉林医学》2005年第12期1282-1284,共3页Jilin Medical Journal

摘　　要：目的:为了探讨非小细胞肺癌术后支气管切缘癌的发生及预后特点,优化处理方案,提高5年生存率。方法:1997年初～2004年底10年间经手术切除893例非小细胞肺癌,显微镜下发现支气管残端癌阳性者89例,配以同期根治性肺癌切除574例进行发病及生存的对比分析。结果:发现非小细胞肺癌术后支气管切缘癌的发生率与不同的肺切除术式,病理学类型及PTNM分期无关。结论:但预后以鳞癌最好,并依PTNM分期的增加生存率逐渐下降。术后辅以放疗和化疗为主的综合治疗对延长病人的生存期有重要意义。Objective To summarize the incidence and clinical characteristics of residual carcinoma on the bronchial margin after resection for non-small cell carcinoma of the lung. Method Clinical material and method ：893 patients with non-smal cell carcinoma of the lung underwent surgery from 1997 to 2004,and contrasted with resection of 574 cases bronchial Carcinoma. Results Conclusion： Attack rate of residual cancer in bronchial stump do not concer- mode of operation, pathological and PTNM. Conclusion In cases of postoperative bronchial residual cancer a more better prognosis can expected, if it is squamous cell careinoma.Postoprative radiotherapy and chemotherapy were useful for patients with residual tumor.

关 键 词：肺癌 非小细胞癌 肺切除术 预后 

分 类 号：R734.2[医药卫生—肿瘤]