邵名睿 陈希涛 李文雅 张 林 董思远中国医科大学附属第一医：胸外科，辽宁沈阳110001

    35例胸膜间皮瘤临床分析

    邵名睿陈希涛李文雅张林董思远

    中国医科大学附属第一医：胸外科，辽宁沈阳110001

    目的探讨胸膜恶性间皮瘤的临床特点与治疗经验。方法回顾性分析中国医科大学附属第一医：1998年6月～2015年10月收治的35例胸膜恶性间皮瘤患者的临床资料。结果全部35例患者中，15例术前曾存在不同程度的误诊，误诊率为42.8%，1年生存率为60%，3年生存率为5.7%。大多数患者在术后3个月～1年复发，1年复发率为71.4%。结论胸膜恶性间皮瘤发病率低、恶性程度高、预后差，应根据患者疾病分期、病理分型、心肺功能等因素综合考虑，制订个体化治疗策略。

    恶性间皮瘤；诊断；治疗

    [Abstract]Objective To exp1ore the c1inica1 characteristics and treatment experience of ma1ignant p1eura1 mesothe-1ioma.Methods The data of 35 cases of MPM were ana1yzed retrospective1y in the First Hospita1 of China Medica1 University from June 1998 to October 2015.Results In a11 the patients,15 cases was misdiagnosised,and the misdianosis rate was 42.8%.The 1-year-surviva1 rate was 60%and the 3-year-surviva1 rate was 5.7%.Most of the patients was recurrence during 3 months to 1 year after surgery,and the 1-year-recurrence rate was 71.4%.Conclusion MPM has 1ow incidence,high grade ma1ignance and bad prognosis.It shou1d work out individua1ized treatment strategies considering the staging of disease,patho1ogica1 type and cardiopu1monary function of each patient. ......