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1961～1988年应用外科治疗小细胞肺癌109例。手术切除89例,剖胸探查20例,手术切除率81.7％,切除组1、3、5、10年生存率为64.4％、23.0％、19.5％、6.9％,剖胸探查组2年生存率10％,无1例活到3年。随意取1980～1982年非外科治疗小细胞肺癌41例对照,1年生存率9.8％,无1例活过2年。TNM分期5年生存率Ⅰ期75％、Ⅱ期23.3％、Ⅲ期5.9％、Ⅳ期0,证实外科治疗小细胞肺癌有一定疗效。外科切除结合其他治疗可取得更好效果。
From 1961 to 1988, 109 cases of small cell lung cancer were treated with surgery. 89 cases underwent surgical resection and 20 cases underwent exploratory thorax exploration. The resection rate was 81.7%. The 1-, 3-, 5-, and 10-year survival rates in the resection group were 64.4%, 23.0%, 19.5%, and 6.9%. The 2-year survival rate of the exploratory thorax exploration group 10%, no case lived to 3 years. Feel free to take non-surgical treatment of small cell lung cancer from 1980 to 1982 in 41 cases, one-year survival rate of 9.8%, no one case survived 2 years. The 5-year survival rate of TNM was 75% in phase I, 23.3% in phase II, 5.9% in phase III, and 0 in phase IV, confirming that surgical treatment of small cell lung cancer has a certain effect. Surgical resection combined with other treatments can achieve better results.