150 例胸段食管鳞状细胞癌淋巴结转移规律的研究.pdfVIP

现 代 医 学 - 2012,Apr;40(2:199 201 ModernMedicaijournai 1 99 !论 著! 150 例胸段食管鳞状细胞癌淋巴结 转移规律的研究 王君,魏大中 (安徽医科大学附属省立医院胸外科,安徽合肥 230001 摘要] 目 :探讨胸段食管鳞癌淋巴结转移规律性O 方法:回顾2010 年1 月至2011 年1 月采用手术治疗 胸段食管鳞癌150例的临床资料,从患者肿瘤部位~肿瘤长度~浸润深度~分化程度和大体病理类型5 个方面 分析总结影响淋巴结转移的规律O 结果:医院内无手术死亡O 全组病人淋巴结转移率为50.7%,转移度为 16.2%O 肿瘤部位~肿瘤长度~浸润深度~分化程度和大体病理类型对淋巴结转移率的影响均有统计学意义O 结论:肿瘤部位~肿瘤长度~浸润深度~分化程度是影响胸段食管鳞癌淋巴结转移的重要因素,临床中应注意 分析~总结,从而提高手术治疗效果O 关键词] 胸段食管鳞癌; 淋巴结转移; 影响因素 - - - 中图分类号] R735.1 文献标识码] A 文章编号] 1671 7562(201202 0199 03 - :10.3969/j.issn.1671 7562.2012.02.018 doi Study onlymphnodemetastasisof150 casesofthoracic esophagealseguamouscellcarcinoma - WANG Jun, Weldazhong (Departmentofthoracicsurgery,AnhuiprouincialhospitalAffiliated toAnhuiMedicalUniuersity, hefei230001, China Abstract] Objective: Toinvestigatethemetastasisreguiarityofthoracicoesophagussguamousceiicarcinoma iymphnodes.Methods: Betweenjanuary2010tojanuary2011, 150ciinicaicasesofthoracicoecophaguswhich weresurgicaitreatedwerereviewedtoanaiyseandsummarizethemetastasisreguiarityofiymphnodesfromfive aspects, suchastumoriocation, tumoriength, depth ofinvasion,differentitation and grosspathoiogicaitypes. Results: Nosurgicaimortaiitywasfoundinhospitai.Theoveraiirateofmetastasiswas50.7%andtheextentof metastasiswas16.2%.Tumoriocation,tumoriength,depthofinvasion,differentitationandgrosspathoiogicaitypes aiihadstatisticaiiysignificationwithiymphnodemetastasis.Conclusion: Tumoriocation, tumoriength, depthof invasion, degreeofdifferentiation areimportantfactorswhich infiuenceiymph nodemetastasisin thoracic oesophagus.lnciinicaiduration, weshouidpayattentiontoanaiyseandaummarizethesefactorssoastoimprove treatm