70岁以上老年早期肺癌的手术方式及预后

被引：6

作者：

张毅

李元博

姚舒洋

支修益

董宗俊

机构：

[1] 首都医科大学宣武医院胸外科首都医科大学肺癌诊疗中心

来源：

中华胸心血管外科杂志 | 2011年 / 10期

关键词：

癌,非小细胞肺; 老年; 胸外科手术; 生存率;

D O I：

暂无

中图分类号：

R734.2 [肺肿瘤];

学科分类号：

摘要：

目的探讨70岁以上老年Ⅰ期肺癌患者的手术方式及对预后的影响。方法回顾性分析2003年1月至2011年1月间71例70岁以上的Ⅰ期非小细胞肺癌患者。男51例、女20例,年龄70～84岁,平均74岁。其中肺楔形切除和肺段切除术22例,肺叶切除术49例。随访2～81个月,平均30个月。结果肺楔形切除、肺段切除术组及肺叶切除术组术后并发症发生率分别为36.4%和46.9%。术后住院天数11.36天和12.24天。3年总生存率85.9%和78.8%;5年总生存率56.4%和56.9%,以上各组比较均差异无统计学意义。分期为影响预后的独立因素。结论老年Ⅰ期肺癌患者,肺楔形切除或肺段切除术可获得与肺叶切除术相似的预后。

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