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[目的]探讨Ⅰ期肺癌根治术后转移复发的特点 ,为术后转移和复发的治疗提供依据。[方法]对经过5年随访的Ⅰ期肺癌根治术后18例患者进行随访和分析。[结果]转移和复发发生率Ⅰa 期低于Ⅰb 期 ,手术加化疗组与手术加免疫组相仿。腺癌转移和复发率高于鳞癌。[结论]早期发现和治疗仍是预防Ⅰ期肺癌转移和复发的关键 ,手术后应定期随访 ,及时治疗以提高生存率。
[Objective] To investigate the characteristics of metastasis and recurrence of stage Ⅰ lung cancer after radical operation and provide the basis for the treatment of postoperative metastasis and recurrence. [Methods] 18 patients who underwent radical resection of stage I lung cancer after 5 years of follow-up were followed up and analyzed. [Results] The incidence of metastasis and relapse was lower in stage Ⅰa than stage Ⅰb. The operation plus chemotherapy group was similar to the operation plus immunization group. Adenocarcinoma metastasis and recurrence rate higher than squamous cell carcinoma. [Conclusion] Early detection and treatment is still the key to prevent the metastasis and recurrence of stage Ⅰ lung cancer. After the operation, it should be followed up regularly and treated in time to improve the survival rate.