高龄肺癌患者的外科治疗  

Surgical Treatment of Elderly Patients with Lung Cancer

作　　者：申思宁[1] 张瑞祥[1] 丁志丹[1] 秦建军[1] 李印[1] 

机构地区：[1]河南省肿瘤医院胸外科,郑州市450008

出　　处：《医药论坛杂志》2010年第6期21-22,共2页Journal of Medical Forum

摘　　要：目的探讨高龄肺癌患者外科治疗的临床价值并总结围术期处理的经验。方法回顾性分析自2005年7月—2009年8月间在河南省肿瘤医院胸外科接受手术治疗的70岁以上肺癌患者42例的临床资料。结果42例均在气管插管、静脉复合麻醉下接受全肺切除、肺叶切除,肺叶加支气管成形术等术式的手术治疗,术后早期死亡1例。随访率92.9%。术后1、3、5年生存率分别为81.0%(34/42)、40.5%(17/42)、28.6%(12/42)。结论手术治疗仍是高龄肺癌的有效治疗手段,肿瘤分期及心肺功能状况是决定能否手术的依据。重视围术期处理及选择合适的手术方式是外科治疗成功的关键。Objective To evaluate the surgical treatment of elderly patients with lung cancer and summarizes the clinical value of perioperative management experience.Methods A retrospective analysis on clinical data of 42 patients from July 2005~August 2009 between the undergoing surgery in our department over the age of 70 patients with lung cancer.Results 42 patients were in the trachea intubation,intravenous anesthesia to accept pneumonectomy,lobectomy,lobectomy plus bronchoplasty.In addition to surgical and other surgical treatment of early postoperative death in 1 case.Follow-up rate of 92.9%.After 1,3,5 year survival rates were 81.0%（34/42）,40.5%（17/42）,28.6%（12/42）.Conclusion Surgical treatment is still an effective treatment for elderly lung cancer,tumor stage,and cardiopulmonary function status is to determine whether surgery basis.Emphasis on perioperative management and choosing an appropriate surgical approach is the key to the success of surgical treatment.

关 键 词：外科手术 肺肿瘤 高龄 

分 类 号：R734.2[医药卫生—肿瘤]