摘要我们为151例(男123例,女28例)60岁以上肺癌病人行外科治疗。包括鳞癌90例、腺癌49例、其他12例。Ⅰ~Ⅱ期28例(18.5%),Ⅲ~Ⅳ期123例(81.5%)。手术切除133例(88.1%),术后并发症10例(6.6%),死亡2例(1.3%)。5年生存率36.8%。体会到:加强围术期处理,采取适当的手术方法,是预防术后并发症、降低死亡率的关键;对60岁以上肺癌病人的手术治疗应持积积极态度。
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abstractsFrom September 1969 to December 1990, 151 lung cancer patients over 60 were treated surgically in our hospital. One hundred and twenty-three cases were men and 28 women. Most of them were squamous cell carcinoma (90 cases, 59.6%) and adenocarcinoma (49 cases, 32.4%). The resection rate was 88.1% (133/151). There were 81.5% in (123/151) III and IV stages pathologically. Postoperative complications developed in 10 patients with 2 mortalities. One, three and five-year survival rates of 149 cases were 75.2%, 50.5% and 36.8% respectively. The author suggested that operative intervention of lung cancer in patients over 60 years of age should be widely adopted.
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