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Ⅲ期肺癌41例均行开胸手术,切除27例(65.9%)。中央型肺癌切除14例中,鳞癌10例,腺癌3例,小细胞癌1例。周围型肺癌切除13例中,鳞癌5例,腺癌6例,小细胞癌、腺鳞癌各1例。肺叶切除17例,全肺切除10例中,姑息性切除3例,2个月内死于呼衰2例。手术死亡1例。术后对27例进行随访,随访>5年15例中,失访1例,死亡9例,5年存活5例。本文资料表明:鳞癌切除率高,周围型肺癌切除率高于中央型,全肺切除死亡率高,并发症多,需持慎重态度;术前放疗,化疗可提高手术切除率。
In 41 patients with stage III lung cancer, thoracic surgery was performed and 27 cases (65.9%) were removed. Of the 14 cases with central lung cancer resection, 10 had squamous cell carcinoma, 3 had adenocarcinoma, and 1 had small cell carcinoma. In 13 cases of peripheral lung cancer resection, 5 cases had squamous cell carcinoma, 6 had adenocarcinoma, and 1 had small cell carcinoma and adenosquamous carcinoma. There were 17 cases of lobectomy, 10 cases of pneumonectomy, 3 cases of palliative resection, and 2 cases of respiratory failure within 2 months. One patient died of surgery. After follow-up, 27 cases were followed up and 15 cases were followed up for more than 5 years. One case was lost to follow-up, 9 cases died, and 5 cases survived 5 years. The data in this article show that the excision rate of squamous cell carcinoma is high, the resection rate of peripheral lung cancer is higher than that of central type, the mortality rate of pneumonectomy is high, and there are many complications. Precaution radiotherapy and chemotherapy can increase the surgical resection rate.