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迄今,手术仍为治疗肺癌最主要的一种方法,但由于肺癌病灶发展快,容易引起转移,除淋巴道转移外,还容易引起血道转移,故临床检出的肺癌病人,仅20～30%可手术切除,其中仅7%为Ⅰ期病人。如无手术绝对禁忌征象,均应列为手术对象,由于肺癌的近期、远期疗效较差,故目前采用以手术切除为主,结合多学科的综合治疗,以提高近期和远期疗效。一、手术治疗原则(一)根据国际T、N、M分类1.如临床为Ⅱ期或Ⅱ期中,病理为鳞状细胞癌的病人,以采用综合治疗为佳,术前放射治疗,其剂量一般为单纯放射治疗的2/3左右,后再手术治疗,这样
So far, surgery is still the most important method for the treatment of lung cancer, but due to the rapid development of lung cancer lesions, it is easy to cause metastasis, in addition to lymphatic metastasis, it is also easy to cause hematogenous metastasis, so the clinical detection of lung cancer patients is only 20 to 30% Can be surgically removed, of which only 7% of patients with stage I. If there are no absolute surgical contraindications, they should be classified as surgical targets. Because of the short-term and long-term curative effects of lung cancer, surgical resection is currently used, combined with multidisciplinary comprehensive treatment to improve short-term and long-term efficacy. First, the principle of surgical treatment (A) According to the international T, N, M classification 1. If the clinical stage II or II, pathological squamous cell carcinoma patients, to adopt comprehensive treatment is better, preoperative radiation therapy, the dose Usually only about 2/3 of the radiotherapy is treated, after the surgery, so