【摘要】目的 探讨同时性多原发肺癌的临床诊治策略。方法 从2015年9月～2019年8月接受微创手术诊治的2193例肺癌患者中，回顾性分析其中59例同时性多原发肺癌的临床资料。结果 同时性多原发肺癌可有多种病理分型;病灶分布在右肺上叶出现的频率最高，为33.33%(42/126)。所有病例均行胸腔镜手术治疗，术中无开胸，无手术死亡病例。结论 同时性多原发肺癌可随机分布在不同肺叶，有相同或不同组织学类型，手术为主的多学科综合治疗仍是同时性多原发肺癌的首选方法，其预后优于肺内转移癌。

    【关键词】肺癌;同时性;多发性;原发性

    中图分类号：R734.2 文献标志码：A DOI：10.3969/j.issn.1003-1383.2019.12.006

    【Abstract】Objective To investigate the clinical diagnosis and treatment of synchronous multi-primary lung cancer.Methods A total of 2193 patients with lung cancer who received minimally invasive surgery in our hospital from September 2015 to August 2019 were selected and the medical records of 59 patients with synchronous multi-primary lung cancer were retrospectively analyzed.Results There were many pathological types of synchronous multi-primary lung cancer.The highest incidence of nodules was 42(33.33%) in the upper lobe of the right lung.All cases were treated with thoracoscopic surgery ......