肺癌再切除24例报告  

Report of 24 cases of re-excision of lung cancer

作　　者：袁五营[1] 李遂莹[1] 汤少鹏[1] 

机构地区：[1]河南省胸科医院胸外科

出　　处：《中国肿瘤临床与康复》2008年第2期163-164,167,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨肺癌再切除的手术适应证、手术要点和术后注意事项。方法回顾分析1990年1月至2005年12月我院收治的24例肺癌再切除的临床资料,其中属于复发性肺癌20例,第二次原发性肺癌4例,再切除术后病理证实鳞癌16例,腺癌7例,鳞腺混合癌1例。属根治性手术22例,姑息性手术2例。结果本组无手术死亡,随访23例,失访1例,失访者按1年内死亡计,应用生命率的直接计算方法计算再手术后1,3,5年生存率,分别为83.3%(20/24)、52.6%(10/19)和26.7%(4/15)。结论肺癌再切除术是治疗复发性肺癌和二次原发肺癌的可行性手段之一,能够为余肺癌患者提供了一次再手术、改善预后和延长生命的机会。Objective To explore the indications, main points of operation and points for attention after operation for re-excision of lung cancer. Methods Clinical data of 24 cases of lung cancers undengoing re-excision admitted to this hospital from January 1990 to December 2005 were analyzed retrospectively. Of the 24 cases ,20 were recurrent lung cancer,4 were second primary lung cancer, 16 were squamous cell carcinoma,7 were adenocarcinoma and 1 was mixed cancer comfirmed by pathology after re-excision. Twenty-two cases underwent radical operation and 2 received palliative operation. Results No case died perioperatively. Twenty-three cases were followed up and one case was lost to follow up and was included in the number of death within 1 year. 1-,3-,5- year survival rates were respectively 83.3% （20/24） ,52.6% （10/19） and 26.7% （4/15）. Conclusion Re-excision is one of the feasible treatment of recurrent lung cancer and the second primary lung cancer and can provide the opportunity for improving prognosis and prolonging life of the lung cancer patients.

关 键 词：肺肿瘤/外科学 

分 类 号：R734.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]