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非小细胞肺癌的基本手术方式为肺叶切除,全肺切除,支气管袖状切除成形术,但有时因病人的病情严重及合并其他疾患,难以上述术式完成其手术治疗时,则有必要对癌灶进行有限切除,以求达到减少癌负荷或根治目的。本科从1985年4月至1993年2月共行肺癌此类手术31例,取得较满意的效果,现作一临床分析。 1 临床资料 1.1 本组31例,男26例,女9例;年龄31—76岁。原发性肺癌26例,肺重复癌4例,肺癌肺转移1例。肿瘤5cm以下21例,5.1cm以上10例,最大者8×5×5cm~3。 1.2 手术方式:契状切除21例,肺段切除2例,局部单纯剜除5例,局部切除+局部免疫2例,冷冻后剜除1例。5例术中氮芥浸泡胸腔。 1.3 术后病理:鳞癌15例,腺癌7例,腺鳞癌3例,
The basic surgical methods for non-small cell lung cancer are lobectomy, pneumonectomy, and bronchial sleeve resection. However, sometimes it is necessary to treat cancer when the patient’s condition is severe and combined with other diseases. The foci undergo limited resection in order to reduce the cancer burden or cure. From April 1985 to February 1993, 31 undergraduates who underwent lung cancer surgery of this type achieved satisfactory results and are now conducting a clinical analysis. 1 Clinical data 1.1 The group of 31 patients, 26 males and 9 females; aged 31-76 years old. There were 26 cases of primary lung cancer, 4 cases of lung repetitive cancer, and 1 case of lung metastasis of lung cancer. The tumors were less than 5cm in 21 cases, 5.1cm in 10 cases, and the largest 8x5x5cm~3. 1.2 Surgical methods: Debridement resection in 21 cases, segmental resection in 2 cases, local debulking in 5 cases, local resection in 2 cases and local immunization, and removal in 1 case after freezing. Five patients had nitrogen mustard soaked in the chest cavity. 1.3 Postoperative pathology: 15 cases of squamous cell carcinoma, 7 cases of adenocarcinoma, and 3 cases of adenosquamous carcinoma.