解放军医药杂志2018，Vol.30Issue(1)：34-37,4.DOI:10.3969/j.issn.2095-140X.2018.01.009
全胸腔镜肺叶切除术治疗高龄非小细胞肺癌近期效果及远期预后生存分析
Short-term Curative Effect and Long-term Prognosis and Survival of Thoracoscopic Total Lobectomy in Treat-ment of Elderly Patients with Non-small-cell Lung Carcinoma
摘要
Abstract
Objective To analyze short-term curative effect and long-term prognosis and survival of thoracoscop-ic total lobectomy in treatment of elderly patients with non-small-cell lung carcinoma ( NSCLC) . Methods A total of NSCLC 138 patients with thoracoscopic total lobectomy admitted during January 2010 and December 2013 were divided into elderly group ( >70 years old) and non-elderly group ( <70 years old) according to patients' ages. Postoperatively related indexes were compared, and survival time and risk factors of prognosis and survival were analyzed in two groups. Results In non-elderly group, values of preoperative maximal voluntary ventilarion ( MVV) percentage to predicted val-ue and forced expiratory volume in 1 second (FEV1) were significantly lower than those in elderly group (P<0. 05). There were no significantly differences in intraoperative and postoperative indexes and survival rates in postoperative 1, 2 and 3 years in two groups (P>0. 05). Tumour node metastases (TNM) pathological stage (≥ⅡA) and without postop-erative radiotherapy were independent risk factors affecting prognosis and survival of NSCLC patients (P <0. 01). Con-clusion Thoracoscopic total lobectomy in treatment of elderly patients with non-small-cell lung carcinoma can achieve good effect, but conditions of lung function should be paid attention.关键词
癌,非小细胞肺/肺切除术/胸外科手术,电视辅助/治疗结果/预后Key words
Carcinoma,non-small-cell lung/Pneumonectomy/Thoracic surgery,video-assisted/Treatment outcome/Prognosis分类
医药卫生引用本文复制引用
余忠林,袁德武..全胸腔镜肺叶切除术治疗高龄非小细胞肺癌近期效果及远期预后生存分析[J].解放军医药杂志,2018,30(1):34-37,4.基金项目
陕西省科技厅计划项目(QS061-C33-21) （QS061-C33-21）
