进展期胃癌淋巴结转移的特点及意义.pdfVIP

内蒙古医科大学学报摇 2014年6月摇 第36卷摇 第3期 ·197 · ·论摇 摇 著 · 进展期胃癌淋巴结转移的特点及意义 1 2 1 杨家骍 ,摇 刘家炜 ,摇 任双义 (1.大连医科大学附属第二医院普外科,辽宁 大连 116031;摇 2.航天中心医院急诊科) 摇 摇 摘摇 要:目的:探讨进展期胃癌淋巴结(LN)转移的规律,指导进展期胃癌LN廓清手术治疗。 方法:回顾性 分析2009-09~2012-09 间在我院手术并有完整记录的158例进展期胃癌病人的临床资料,分析其LN 转移情 况。 结果:肿瘤直径5cm、3cm肿瘤直径臆5cm 的LN转移率分别为91.4%(64/ 70)、78.7%(48/ 61),明显高于 肿瘤直径臆3cm的29.6%(8/ 27)(P0.01)。 各组LN 中以第3组LN转移率最高为51.6%,其他依次为第1、2、 7、8、12、13组LN,而第14、15组LN对于不同部位的胃癌转移机会很少。 结论:肿瘤大小、浸润深度是影响进展 期胃癌LN转移的因素,掌握进展期胃癌LN转移的规律,对进展期胃癌LN的廓清手术具有重要意义。 关键词:进展期胃癌;淋巴结;转移 中图分类号:R735.2摇 摇 摇 摇 摇 文献标识码:A摇 摇 摇 摇 摇 文章编号:2095-512X(2014)03-0197-05 CHARACTERISTICS AND SIGNIFICANCE OF LYMPH NODE METASTASIS OF ADVANCED GASTRIC CANCER YANGJia-xing,摇 LIUJia-wei,摇 REN Shuang-yi (Department of General Surgery,The Second HospitalAffiliated DalianMedical University,Dalian 116031 China) Abstract:Objective:To explore the law of LN metastasis in advanced gastric cancer,guiding LN dissection for advanced gastric surgery.Methods:To analyze their LN metastasis,surgery and complete records of 158 patients diagnosed as advanced gastric cancer from September 2009 to September 2012 in our hospital.Results:Tumor diameter5cm,3cmtumor diameter 臆5cm LN metastasis rate was 91.4%(64/ 70),78.7%(48/ 61),significantly higher than the tumor diameter 臆3cm of 29.6%(8/ 27)(P0.01).The3rd group LN in the groups LN metastasisrate up to51.6%,followed by the 1st, 2nd,7th,8,12,13 group LN,and the 14th,15 group LN for different parts of the gastric cancer metastasis opportunity seldom.Conclusions:Tumor size,depth of invasion are factors influencing LN metastasis of advanced gastric,to master advanced gastric cancer LN metastasis law,the LN dissec