CAJ | 학술논문

目的探讨云锡矿工肺癌的临床特点和规律，为下一步的诊治工作提供帮助。方法回顾性分析1975年至1998年2261例云锡矿工原发性肺癌的临床资料。结果男性所占比例明显高于女性（男女之比为97.3∶1），以50～69岁年龄段最多见（占74.3％）。鳞癌占60.4％，Ⅲ＋Ⅳ期患者占71.4％。以手术为主的综合治疗、非手术治疗及对症支持治疗组的5年生存率分别为43.4％、7.5％和1.2％(P＜0.01)。结论云锡矿工肺癌有其自身特点，早期发现肺癌及健康素质教育仍是今后工作的重点。
목적탐토운석광공폐암적림상특점화규률，위하일보적진치공작제공방조。방법회고성분석1975년지1998년2261례운석광공원발성폐암적림상자료。결과남성소점비례명현고우녀성（남녀지비위97.3∶1），이50～69세년령단최다견（점74.3％）。린암점60.4％，Ⅲ＋Ⅳ기환자점71.4％。이수술위주적종합치료、비수술치료급대증지지치료조적5년생존솔분별위43.4％、7.5％화1.2％(P＜0.01)。결론운석광공폐암유기자신특점，조기발현폐암급건강소질교육잉시금후공작적중점。
Objective　To find out the clinical features and the regular patterns of lung cancer among Yunnan Tin miners and get ready for the further clinical practices. Methods　From 1975 to 1998 the clinical data in 2?261 patients with primary lung cancer from Yunnan Tin Corporation were retrospectively analyzed. Results　The male patients were obviously more than female (male to female was 97.3∶1). The ratio of age ranging from 50 to 69 years old was 74.3％. Of the whole group, 60.4％ was squamous cell carcinoma and 71.4％was in stage Ⅲ or Ⅳ. The 5-year survival rates of the three groups, which were respectively treated with surgical resection, non-surgical therapy and palliatively supporting therapy, were 43.4％, 7.5％ and 1.2％ respectively (P＜0.01). Conclusion　There are some features in patients with lung cancer from Yunnan Tin Corporation. Early diagnosis for lung cancer and healthy quality education will be still important for our future work.