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目的 :探讨老年人肺癌的临床特点、外科治疗措施及疗效。方法 :全肺切除 9例 ,肺叶切除 42例 ,肺楔形切除 1例 ,开胸探查 6例。结果 :术后出现并发症 7例 ,死亡 1例 ,病死率 1.72 %。 1年、3年和 5年生存率分别为 73.7%、5 2 .6 %和35 .7%。结论 :加强围手术期处理 ,采取适当的手术方法是预防术后并发症、降低病死率的关键 ,对老年人肺癌的手术治疗应持积极态度。
Objective: To explore the clinical features, surgical treatment and efficacy of lung cancer in the elderly. Methods : Pneumonectomy in 9 cases, lobectomy in 42 cases, wedge resection in 1 case, open chest exploration in 6 cases. Results: There were 7 cases of postoperative complications and 1 case died. The mortality rate was 1.72%. The 1-year, 3-year, and 5-year survival rates were 73.7%, 52.6%, and 35.7%, respectively. Conclusion: To strengthen the perioperative management and to adopt appropriate surgical methods is the key to prevent postoperative complications and reduce the mortality. It is necessary to take a positive attitude toward the surgical treatment of lung cancer in the elderly.