肺转移癌的外科治疗  

Surgical treatment for patients with pulmonary metastases

作　　者：贾辉[1] 许林[1] 胡振东[1] 刘建良[1] 邱宁雷[1] 

机构地区：[1]江苏省肿瘤医院胸外科,江苏南京210009

出　　处：《现代医学》2009年第1期12-14,共3页Modern Medical Journal

基　　金：江苏省科技厅社会发展重大项目(BS2006005)

摘　　要：目的探讨肺转移癌外科手术治疗的临床效果。方法2000年1月至2007年12月对38例肺转移癌患者行常规开胸手术34例,胸腔镜下肺叶切除术4例。随访并采用Kaplan-Meier法计算生存率。结果手术切除率100%,无围手术期死亡。术后发生各种心率失常7例(18.42%),呼吸系统并发症11例(28.95%)。1、3、5年生存率分别为73.68%,26.32%和10.53%。结论手术是肺转移癌有效的治疗方法,电视胸腔镜为肺转移癌提供了微创治疗手段。Objective To evaluate clinical outcomes of surgery treatment for patients with pulmonary metastases. Methods Thirty-eight patients with pulmonary metastases underwent curative pulmonary resection since 2000. Operation was performed through conventional thoracotomy （in 34 patients ） and video-assisted thoracoseopic surgery （VATS） （ in 4 patients）. Patients were followed-up afterward. Survival rate was calculated with Kaplan-Meier method. Results 1,3 and 5 year survival rates were 73.68% ,26.32% and 10.53% respectively. Conclusions Surgery is a good measure for patients with pulmonary metastases. VATS provides a new microtramatic method for such patients.

关 键 词：肺转移癌 外科治疗 生存率 

分 类 号：R655.3[医药卫生—外科学]