28例肺转移瘤的临床分析

目的探讨肺转移瘤外科治疗体会及影响预后因素。方法对28例接受手术治疗的肺转移瘤患者的临床资料进行回顾性分析。结果本组患者中原发肿瘤来源于全身各组织器官,全组无围术期死亡,平均随访6.3年,随访率为100%,1、3、5年生存率分别为89.3%、39.3%、17.9%。结论对于有适应证的肺转移瘤患者应积极手术治疗,以开胸手术为宜。对多发转移灶且可切除者,可分期手术切除,对于单发转移者可在胸腔镜辅助下小切口开胸手术切除。

Clinical discussion 28 patients of pulmonary metastases

Objective To discuss the peroperative period treatment of lung metastasis,the surgical procedure and factors atiectmg the survival based on our experience accumulated. Methods A total of 108 patients with pulmonary metastasis were treated by surgery and were ret- rospectively analysed. Results The primary tumor sites came from different organs and tissuese, there was no perioperative mortality. After sur- gery ,the cumulative 1,3,5year post thoracotomy survivals were89.3% , 39.3%, 17.9%. Conclusion Surgery shouldbe undertaken for pa- tientswho do fulfill these criteria, and open thoracotomy is a better choice. Surgical treatment for multiple lesions and mildly invasive operation using video -assisted thoracic surgery might be chosen for some cases with single metastatic locus.