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目的分析评价转移癌的诊断及手术治疗。方法自1975年1月~1990年12月我院胸外科对51例肺转移癌进行了手术治疗,其中男38例,女13例,平均年龄46岁。肿瘤来源于全身各组织器官。单侧肺单发、多发分别为20例和23例,双侧多发8例。结果全组51例均行外科手术治疗,其中全肺切除6例,肺叶切除26例,肺段及肺楔形切除19例,无手术死亡及术后并发症发生。全组5年生存率为29.4%,2年生存率为41.2%。结论外科手术治疗仍是肺转移癌的有效治疗方法。
Objective To analyze and evaluate the diagnosis and surgical treatment of metastatic cancer. Methods From January 1975 to December 1990, surgical treatment was performed on 51 cases of metastatic carcinoma of the lung, including 38 males and 13 females, with an average age of 46 years. Tumors originate from all tissues and organs throughout the body. Single and multiple unilateral lungs were 20 cases and 23 cases respectively, and bilateral multiple cases were 8 cases. Results All the 51 cases underwent surgical treatment, including 6 cases of pneumonectomy, 26 cases of lobectomy, and 19 cases of lung segment and wedge resection of the lung. No operative death or postoperative complications occurred. The overall 5-year survival rate was 29.4%, and the 2-year survival rate was 41.2%. Conclusion Surgical treatment is still an effective treatment for lung metastasis.