97例高龄肺癌患者的外科手术治疗  

Surgical Treatment for 97 Aged Patients with Advanced Lung Cancer

作　　者：罗继文[1] 何树松[1] 任杰[1] 罗红[1] 

机构地区：[1]四川绵阳市中心医院胸心外科,四川绵阳621000

出　　处：《华西医学》2009年第7期1638-1641,共4页West China Medical Journal

摘　　要：目的:总结97例高龄肺癌患者的外科治疗方法及围手术期处理经验。方法:手术根治性切除82例,姑息性切除9例,手术探查6例,姑息性切除和探查手术有11例术中植入I125种子,术后75例经化疗等综合治疗。结果:手术切除率93.8%,手术病死率2.1%,术后并发症发生率95.9%,随访率93.8%。手术根治性切除术后1、3、5年生存率分别为80.8%、55.1%、28.2%。结论:年龄不是高龄肺癌手术的禁忌证,但高龄肺癌患者常并有多系统基础疾病,正确的手术方式及有针对性的围手术期处理是保证手术效果的关键。Objective： To sum up the methods of surgical treatment and the experience of perioperative care. Methods： Radical resection was done for 82 patients, palliative resection for 9 patients, and surgical exploration for 6 patients. Eleven patients were treated with palliative resection and surgical exploration were implanted with I125 seeds. Seventy-five patients received complex treatment including chemotherapy after the operation. Results： The surgical resection rate was 93.8%. Postoperative mortality was 2.1%. The morbidity was 95.9%. The follow-up rate was 93.8%. Survival rates of radical resection after 1, 3, and 5 years were 80.8%, 55.1%, and 28.2% respectively. Conclusion： Old age is not the contraindication of operation for advanced lung cancer patients. Advanced lung cancer patients, however, often suffer multi-system basic diseases. Correct surgical methods and perioperative care are the key to ensure the surgical treatment effects.

关 键 词：高龄肺癌 手术 

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