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目的探讨肺癌伴癌性胸水患者肺切除或冷冻治疗问题。方法肺癌伴癌性胸水２１例（肺腺癌１１例，鳞癌８例，鳞腺癌２例），施行肺切除１４例，术后胸水均消失，术后化疗；７例剖胸未能切除病肺，用液氮冷冻肺肿瘤及胸膜上癌结节，术后化疗。结果肺切除者生存率１年６７％，２年２５％，３年８％，未切除病肺冷冻治疗者生存率接近前者。结论肺切除术中结合冷冻治疗，术后化疗或放疗，可进一步提高疗效。
Objective To investigate the pneumonectomy or cryotherapy of lung cancer with pleural effusion. Methods Twenty-one patients with lung cancer with cancerous pleural effusion (11 cases with lung adenocarcinoma, 8 cases with squamous cell carcinoma and 2 cases with squamous adenocarcinoma), 14 cases undergoing lung resection, postoperative pleural effusion disappeared, and postoperative chemotherapy; 7 cases failed to be resected Diseased lungs, frozen lung tumors and pleural carcinoma nodules with liquid nitrogen, postoperative chemotherapy. Results The survival rate of lung resection was 67% in 1 year, 25% in 2 years, and 8% in 3 years. The survival rate of lung refrigerated patients without resection was close to the former. Conclusions Pulmonary resection combined with cryotherapy, postoperative chemotherapy or radiotherapy can further improve the curative effect.