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对1979年至1991年底手术切除的788例IIa期非小细胞肺癌(NSCLC)的治疗结果进行分析。同时,将全组中316例综合治疗与472例单纯手术病例进行对比。全组5年生存率15.3%,其中综合治疗组23.0%,单纯手术组10.0%。综合治疗组5年生存率中鳞癌占26.6%,腺癌22.8%;单纯手术组5年生存率中鳞癌占14.1%,腺癌9.9%。结果显示:综合治疗组生存率高于单纯手术组。因此,综合治疗应成为IIa期NSCLC的标准治疗方式,并且根据不同TNM、病理类型选择不同治疗组合。
The results of the treatment of 788 stage IIa non-small cell lung cancer (NSCLC) surgically resected from 1979 to the end of 1991 were analyzed. At the same time, 316 cases of comprehensive treatment in the whole group were compared with 472 cases of simple surgery. The 5-year survival rate in the whole group was 15.3%, including 23.0% in the comprehensive treatment group and 10.0% in the simple surgery group. In the comprehensive treatment group, the 5-year survival rate was 26.6% for squamous cell carcinoma and 22.8% for adenocarcinoma; the 5-year survival rate for the simple surgical group was 14.1% for squamous cell carcinoma and 9.9% for adenocarcinoma. The results showed that the survival rate in the comprehensive treatment group was higher than that in the simple surgery group. Therefore, comprehensive treatment should be the standard treatment for stage IIa NSCLC, and choose different treatment combinations according to different TNM and pathological types.