原发性非小细胞肺癌侵及胸壁的外科治疗

    目的  探讨原发性非小细胞肺癌侵及胸壁的外科治疗特点。

　　方法  回顾性分析32例原发性非小细胞肺癌侵及胸壁外科治疗的临床资料。

　　结果  32例患者中行胸膜肺切除28例，胸壁肺切除4例，其中2例行胸壁重建。术后并发血胸2例，脓胸1例，无手术死亡，术后随访1、3、5年生存率分别为71.9%（23/32）、42.3%（11/26）、28.6%（4/14）。

　　结论  原发性非小细胞肺癌直接侵犯胸壁并非远处转移，治疗上应积极采取外科手术，并辅以其他方法的综合治疗。

　　【关键词】  非小细胞肺癌；胸壁；外科治疗

　　Perspective of the surgical treatment of NSCLC’s invasion of chest wall

　　HUANG He-qing,ZHANG Wu-yi,PANG Qian.

　　Guangdong Agricultual Cultivation Central Hospital,Guangdong 524002,China

　　【Abstract】 

    Objective  To study characteristics of surgical treatment of NACLC’s invasion of chest wall.

　　Methods  A retrospective analysis of clinical information gathered from 32 cases.

　　Results  Of the 32 patients,28 received pleura and lung excision,and 4 chest wall and lung excision，among which 2 received chest wall reconstruction.There was one case of chest purulence,and no death on operation.Survival rate in 1,3 and 5 years were 71.9%(23/32),42.3%(11/26),28.6%(4/14) respectively,according to a random survey.

　　Conclusion  NSCLC’s direct invasion of chest wall does not mean distant transfer.It is,therefore,advisable to make active use of surgical operations,in combination with other approaches.

　　【Key words】  NSCLC；chest wall；surgical treatment

　　文献报道原发性非小细胞肺癌侵犯胸壁的外科治疗约占临床肺癌手术

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