系统性淋巴结清扫在非小细胞肺癌手术中的应用.pdfVIP

昆明医学 院学报 2007，(6)：103—105 CN 53一lO49／R Journal of Kunming Medical Conege 赣 系统性淋巴结清扫在非小细胞肺癌手术中的应用 李晓明，黄云超，陈安宁，雷玉洁，杨凯云，赵光强 (云南省肿瘤医院胸心血管外科，云南昆明 650018) [摘要]目的 探讨非小细胞肺癌 (NSCLC)手术中系统性淋巴结清扫的意义和术后的效果．方法 收集 I～llIa的NSCLC 144例，分成研究组和对照组．研究组肺切除时行系统纵隔淋巴清扫术，对照组肺切除时仅 行肺门淋巴结清扫术，纵隔淋巴结肉眼怀疑转移者则行该淋巴结摘除术．分析淋巴结清除总数口淋巴结转移 数口淋巴结转移率口手术并发症，术后进行随访．结果 研究组共清除淋巴结657枚，转移淋巴结402枚，转移 率为61．2％ (402／657)；对照组共清除淋巴结275枚，转移淋巴结215枚，转移率为78．1％(215／275)．两组术 后并发症无明显差异．术后随访，研究组仅1例转移，对照组中2例复发，4例转移．结论 非小细胞肺癌手 术中系统性淋巴结清扫能够减少术后的复发率和转移率，提高病人长期生存率． [关键词]非小细胞肺癌；肺癌手术；系统性淋巴结清扫 [中图分类号]R734．2[文献标识码]A [文章编号]1003—4706(2007)06—0103—03 Application of Systematic Lymphadenectomy in Non-small Cell Lung Cancer Operation LI Xiao-ming，HUANG Yun-chao，CHEN An-ning，LEI YU．-jie，YANG Kai—yun，ZHAO Guang—qiang (Dept．of Cardiothoracic Surgery，The Tumor Hospital of Yunnan Province，Kunming 650118，China) [Abstract]Objective To explore the significance and effects of systematic lymphadenect0my in non—small cell lung cancer operation． Methods I～m a 144 case operable eligible， uses with NSCLC were divided to a systematic lymphadenect0my group (research)and a conventional lymph node dissection group(contro1)．Analyze total number of dissected lymph node，number of metastatic lymph nodes，metastasis ratio of lymph node，postoperative complication， postoperative~llow—up visit．Result The research group eliminate total number of lymph nodes were 657，metastatic lymph nodes were 402，metastastic ratio of lymphy nodes Was 61．2％(402／657)．The control group eliminate total number of lymphy nodes were 275，metastaic lymphy nodes were 215， metastasis ratio of lymph nodes Was 78．1％ (215／275)．Postoperative compication have no obviously difference