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目的 探讨影响肺癌患者外科治疗疗效的预后因素。方法 对 2 2 0例肺癌患者进行外科治疗 ,全组探查 15例 ,切除 2 0 5例 ,切除率为 93 .2 %。结果 随访率为 95 .8%。术后 1年、5年、10年和 2 0年生存率分别为 88.3 %、45 .6%、2 6.2 %和 15 .4%。P TNM分期、淋巴结状态 ,病理类型与预后有密切关系 (P <0 .0 1) ,而手术方式对预后没有显著影响 (P >0 .0 5 )。结论 手术治疗的预后与肿瘤P TNM分期、病理类型和纵隔淋巴结转移与否有密切关系。
Objective To investigate the prognostic factors affecting the efficacy of surgical treatment in patients with lung cancer. Methods 220 cases of lung cancer patients were surgically treated, the whole group of exploration in 15 cases, resection 205 cases, resection rate was 93.2%. Results The follow-up rate was 95.8%. The 1-year, 5-year, 10-year and 20-year survival rates were 88.3%, 45.6%, 22.6% and 15.4% respectively. P TNM stage, lymph node status, pathological type and prognosis are closely related (P <0.01), while the surgical approach has no significant effect on prognosis (P> 0.05). Conclusion The prognosis of surgical treatment and tumor TNM staging, pathological types and mediastinal lymph node metastasis or not closely related.