手术治疗局部晚期肺癌的临床观察

目的探讨局部晚期肺癌的手术治疗方式。方法回顾分析我院1995年1月至2008年12月对45例局部晚期肺癌的手术治疗情况，并对手术方式进行了探讨。结果合并脑转移的8例周围型肺癌先行脑转移瘤切除，后行肺叶切除加淋巴结清扫术。术后并发包襄性脓胸1例，气胸2例，支气管肺炎2例。急性呼吸衰竭死亡1例。经随访1年，3年，5年生存率分别为53．66％（22／41），30．30％（10／33），14．29％（4／28）。结论对适当的局部晚期肺癌患者，选择合适的手术治疗可能使患者获得较长期的生存机会。

Clinical Observation of Local Advanced Lung Cancer Treated by Operation

Objective To probe into the operation way for local advanced lung cancer. Methods The surgical treatment results for 45 cases of local advanced lung cancer in our hospital from Jan. 1995 to Dec. 2008 were analyzed retrospectively, and the operation way for this sorts of patient were discussed. Results For the 8 cases of peripheral type of lung cancer whom had have brain metastasis we did metastatic tumor resection first in the neurosurgery department. The lobectomy of lung and lymph nodes cleaning up were made in our department. The postoperative complications were including encapsulated empyema in 1 case, pneumatothorax in 2 cases, pneumonia in 2 cases, and once case died due to acute respiratory failure. The follow-up results showed the 1,3 and 5 years survival rate were 53.66%（22/41）,30.30%（10/33）, 14.29%（4/28） separately. Conclusion For the adequate local advanced lung cancer patient, suitable operation way for treatment may gain a opportunity for lounger survival period.