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为提高肺转移瘤的诊治水平,报告手术治疗肺转移瘤24例,原发肿瘤为癌者18例(75%),肉瘤者6例(25%);单发病灶17例(70.8%),双发5例(20.8%),多发2例(8.4%)。无手术死亡,术后一、三、五年生存率分别为75%(18/24)、41.7%(10/24)和33.3%(8/24)。五年生存率与有无症状,肺门或纵膈淋巴结是否受累,单发、多发,肿瘤大小及原发肿瘤手术至肺转移的间隔时间有关。主张恶性肿瘤患者术后应定期行胸部X线检查,三年内尤为重要,对本病实行以切除为主的综合治疗,强调术中对肺组织进行全面检查,注意肺门、纵膈淋巴结的探查,可疑者予以清扫,对双侧病灶主张经胸骨正中切口一期切除。
In order to improve the diagnosis and treatment of lung metastases, 24 cases of pulmonary metastases were treated surgically. The primary tumors were cancers in 18 cases (75%), sarcomas in 6 cases (25%), and single lesions in 17 cases (70.8%). ), double hair 5 cases (20.8%), multiple cases (8.4%). No operative death occurred. The 1-, 3-, and 5-year survival rates were 75% (18/24), 41.7% (10/24), and 33.3% (8/24). The five-year survival rate is associated with asymptomatic, hilar or mediastinal lymph node involvement, single and multiple, tumor size, and the interval between primary tumor surgery and lung metastasis. Patients with malignant tumors should undergo regular chest X-ray examination after surgery, which is particularly important in the three years. Comprehensive treatment based on resection is applied to the disease, emphasizing comprehensive examination of lung tissue during operation, and paying attention to the detection of hilar and mediastinal lymph nodes. The suspicious person was cleaned, and a bilateral resection of the bilateral lesions was made through a midline sternotomy.