【摘要】 目的 分析81例肺鳞状细胞癌(鳞癌)临床特征，提高早期诊治率。方法 回顾性分析81例肺鳞癌诊断、手术、治疗及随访资料。结果 患者平均年龄62岁，男∶女为2.2∶1，有吸烟史76例(93.8%)，平均26年，全组均有呼吸道症状，合并全身症状14 .8%(12例)。确诊时间2～7个月。手术切除病肺63例(77.8%),术后放、化疗。未能切除18例中10例放、化疗。随访中位数5年以上。80例得到随访，1、3、5年生存率为90%(72例)、65%(52例)、47.5%(38例)。结论 肺鳞癌以老年男性多见，易误诊，手术切除率低，早期手术5年生存率高。

    【关键词】 肺鳞状细胞癌；临床特征；手术治疗

    Clinical analysis of 81 patients with squamous cell carcinoma of lung

    HUANG Zhong-rong.

    Department of Surgery,Zhabei District Central Hospital,Shanghai 200070,China

    【Abstract】 Objective To analyze the clinical character and increase the diagostic establishment and treated of squamous carcinoma of the lung.Methods iagnosis,operation,treatment and follow-up data analyzed in 81 patients with squamous carcinoma of the lung.Results The average age of 81 cases was 62a,men:woman was 2.1∶1;76 cases had history to smoking,their smoking-age was 26 years,81 patients had symptom in respiratory tract,12 patients had the other symptom in the body(14.8%).There was 3～10 months in the dignostic establishment.63 patients were operated by pneumonectomy(76.8%). 63 patients were treated with radiotherapy and chemotherapy after pneumonectomy.12 cases of 18 patients no pneumonectomy were treated by radiotherapy and chemotherapy,80 patients were followed-up.Survival rates 1,3,5 year were 90%(72 case) ......