老年非小细胞肺癌的外科治疗分析  

A Prognosis Analysis for Surgical Treatment of Elderly Patients with Non-small Cell Lung Carcinoma

作　　者：徐洪波[1] 肖勇[1] 霍前伦[1] 吕斌[1] 宁成栋[1] 

机构地区：[1]安徽医科大学附属六安医院胸心外科,安徽六安237005

出　　处：《湖北民族学院学报（医学版）》2014年第2期45-47,共3页Journal of Hubei Minzu University(Medical Edition)

摘　　要：目的分析老年非小细胞肺癌(NSCLC)患者术前危险因素,探讨围手术期的治疗措施,减少手术后的并发症,以提高手术疗效。方法系统回顾性分析我院38例NSCLC患者的临床资料,术前每个单危险因素对术后各种并发症的发生进行系统分析,有统计学意义的用SPSS软件进行统计分析,多因素分析用Logistic回归分析。结果吸烟、慢性阻塞性肺疾病、高血压、冠心病、陈旧性肺结核,以及手术方式、肿瘤分期,均是老年非小细胞肺癌术后并发症的独立危险因素(P<0.05)。结论正确的术前分期和评估,详细完善的围手术期准备,对老年非小细胞肺癌的外科治疗具有较好的治疗效果。Objective To analyze non-small cell lung（NSCLC） in elderly patients with preoperative risk factors,investigate the treatment of perioperative measures,reduce post-surgical complications in order to improve surgical efficacy.Methods The clinical data of 38 elderly patients with early stage NSCLC were retrospectively analyzed.The independent risk factor for post-surgical complications were retrospectively analyzed.The risk factors were examined by univariate and multivariate logistic regression analysis.Results Smoking,chronic obstructive pulmonary disease,hypertension,coronary heart disease,old lung tuberculosis,as well as surgical approach,tumor stage,were independent risk factors for post-surgical complications in elderly NSCLS patients（P 〈0.05）.Conclusions The correct preoperative staging,assessment of perioperative,and post operative care play an important role in achieving a better efficacy in elderly NSCLS patients.

关 键 词：老年 非小细胞肺癌 外科治疗 

分 类 号：R734.2[医药卫生—肿瘤]