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目的:探讨高龄肺癌外科治疗与围手术期处理的有关问题。方法:回顾性分析29例≥70岁原发性肺癌患者临床资料及手术治疗过程。结果:手术切除率96.55%(28/29);术后出现并发症22例(75.86%),围手术期死亡1例,病死率3.45%。术后1,3,5年生存率分别为57.14%,35.71%和32.14%。结论:高龄肺癌患者并发症多,病情复杂,但高龄不是手术绝对禁忌证,经积极围手术期处理,手术仍是治疗老年肺癌较好方法。重视合并症的诊断和治疗,充分的术前准备,合理选择手术时机与手术方式,加强术中与术后监测,是减少术后并发症和病死率,提高患者生存率,改善生存质量的关键。
Objective: To investigate the related issues of surgical treatment and perioperative management of advanced lung cancer. Methods: The clinical data and surgical treatment of 29 patients with primary lung cancer ≥70 years were retrospectively analyzed. Results: Surgical resection rate was 96.55% (28/29). Postoperative complications occurred in 22 cases (75.86%), perioperative mortality in 1 case and mortality rate 3.45%. The 1, 3, 5-year survival rates were 57.14%, 35.71% and 32.14% respectively. Conclusion: There are many complications and complex conditions in advanced lung cancer patients. However, advanced age is not an absolute contraindication to surgery. After perioperative perioperative management, surgery is still a good way to treat elderly patients with lung cancer. Attention should be paid to the diagnosis and treatment of comorbidities, adequate preoperative preparation, rational selection of operation timing and operation methods, and enhancement of intraoperative and postoperative monitoring. It is the key to reduce postoperative complications and mortality, improve patient survival and improve quality of life .