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目的 分析青年人肺癌的以手术为主综合治疗效果 ,探讨放疗、化疗的必要性。方法 以 1 1 8例青年人肺癌手术患者为研究对象 ,按单纯手术及不同的综合治疗方式进行回顾性生存率病历调查 ,统计数据以卡方处理。结果 1年生存率为 34 .75%( 41 / 1 1 8) ;单纯手术组 1年生存率为 1 1 .1 1 % ,明显低于其他综合治疗组 ( P<0 .0 1 )。术后综合治疗组的 1年生存率低于术前综合治疗组 ,有统计学意义 ( P<0 .0 5)。结论 以手术为主的综合治疗可明显提高青年人肺癌的生存率 ,其中术前综合治疗效果更为确切。
Objective To analyze the efficacy of surgery-based comprehensive treatment for young patients with lung cancer, and to discuss the necessity of radiotherapy and chemotherapy. Methods One hundred and eighty-eight young patients with lung cancer who underwent surgery were investigated. The patients were retrospectively analyzed by simple surgery and different comprehensive treatment methods. Statistical data were processed by Chi-square. Results The one-year survival rate was 34.75% (41/118); the one-year survival rate of the surgery alone group was 11.11%, which was significantly lower than that of other comprehensive treatment groups (P<0.01). The one-year survival rate in the postoperative comprehensive treatment group was lower than that in the preoperative comprehensive treatment group (P<0.05). Conclusion Comprehensive treatment based on surgery can significantly improve the survival rate of lung cancer in young people, and the effect of preoperative comprehensive treatment is more accurate.