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肺癌是全球范围内首位癌性死亡因素,发病率、死亡率高,预后欠佳。作为一种分子靶向治疗手段,表皮生长因子酪氨酸激酶抑制剂(EGFR?TKI)为EGFR突变的非小细胞肺癌(NSCLC)患者提供了一个新的治疗方向,且疗效显著,然而不可避免的是EGFR?TKI耐药问题。鉴于Ⅰ/Ⅱ期临床试验结果,目前有关EGFR?TKI耐药治疗策略包括:EGFR?TKI停药、继续EGFR?TKI、EGFR?TKI+局部治疗、EGFR?TKI+化疗、EGFR+其他分子靶向药物治疗、EGFR?TKI再尝试、化疗、化疗+其他分子靶向药物治疗、EGFR?TKI+免疫治疗等,前景值得期待。本文就当前NSCLC患者EGFR?TKI耐药治疗进展作一综述。“,”Globally, lung cancer is the leading cause of cancer?related death with high morbidity, mortality and poor prognosis. The epidermal growth factor receptor?tyrosine kinase inhibitor( EGFR?TKI) , a means of molecularly targeted therapy, offers a novel ap?proach for the treatment of patients with NSCLC harboring EGFR mutation effectively. However, the problem of EGFR?TKI resistance ex?ists inevitably. A number of promising strategies based on different mechanisms have now been evaluated in phaseⅠ/Ⅱtrials. These in?clude EGFR?TKI discontinuation, EGFR?TKI continuing, EGFR?TKI+local treatment, EGFR+other molecularly targeted drugs, EGFR?TKI+chemotherapy, EGFR?TKI rechallenge, chemotherapy, chemotherapy+other molecularly targeted drugs and EGFR?TKI+immunother?apy. The purpose of this paper will draw a summary on the progress of treatments in patients with NSCLC harboring EGFR?TKI resistance.