TY -的T1 -广泛的手术后随访的相关性nonsmall细胞肺癌JF -欧洲呼吸杂志》乔和J SP - 1357 LP - 1364欧元——10.1183/09031936.00086712六世- 42 - 5盟戴尔芬Gourcerol AU - Arnaud Scherpereel盟Stephane Debeugny AU - Henri土耳其宫廷盟亚历克西斯b Cortot盟——让-雅克•拉菲特Y1 - 2013/11/01 UR - //www.qdcxjkg.com/content/42/5/1357.abstract N2 -为一个适当的和没有国际指导方针对切除的非小细胞肺癌(NSCLC)进行经济有效的随访。我们回顾性地回顾了非小细胞肺癌患者在治愈性手术后的预后。随访包括每3个月进行一次体格检查和胸部x线检查，每6个月进行一次胸部CT扫描、支气管镜检查、腹部超声、脑部CT扫描和骨扫描，随访3年，随访2年，随访每年一次。分析预后因素和费用。162例NSCLC患者手术后的中位总生存期为38.5个月。85例(52.5%)患者出现复发，其中41例(48%)有症状。无症状复发患者与有症状患者的无病生存期相似(11.4个月vs 12个月;p = 0.41)。47例(55.3%)患者通过体格检查或胸片检查发现复发。 Curative-intent therapy was provided in 18 (41%) out of 44 patients with asymptomatic recurrence and in four (10%) out of 41 symptomatic cases (p=0.001). Median overall survival from time of recurrence was higher in asymptomatic patients than in symptomatic patients (15.5 versus 7.2 months; p=0.001). The cost per year of life gained was USD32 700 (€22 397). An extensive follow-up, with acceptable cost, may improve the outcome of patients with resected NSCLC through detection of asymptomatic recurrences; however, validation by prospective studies is required. An extensive follow-up, with acceptable cost, may improve the outcome of patients with resected NSCLC http://ow.ly/nUOez ER -