关键词：胃癌；淋巴结转移；临床病理；广泛性淋巴结清除术
摘要 为探讨胃癌淋巴结转移与原发癌临床病理学特性的关系，给选择合理的淋巴结清除范围提供依据，作者统计分析了手术切除的192例胃癌标本。结果：本组胃癌的淋巴结转移率为60.4%，转移度为28.9%。C、M、A区(上、中、下部)及全胃癌淋巴结转移率分别为64.6%、57.7%、59.1%及90.9%。早、中、晚期胃癌淋巴结转移率依次呈递增趋势(P<0.05)。浸润型(BorrⅢ、Ⅳ)转移率(76.5%)明显高于局限型(Borr Ⅰ、Ⅱ)转移率(43.2%)。肿瘤直径<4cm、4～8cm和>8cm的淋巴结转移率依次增加，其差异有高度显著性(P<0.01)。因此，术中应按胃癌的临床病理分期、部位、大小及大体分型，并结合不同分区淋巴结分组、分站转移特点，选择淋巴结清除范围。
THE CLINICOPATHOLOGICAL STUDY ON LYMPH NODEMETASTASIS OF GASTRIC CANCER
Kan Yongfeng, Li Shiyong. Department of General Surgery, General Hospital of Beijing Military Area, Beijing 100700
Abstract To investigate therelationship between clinicopathological features and lymph node metastasis in the primarygastric cancer and affer the basis for deciding appropriate extent of lymph nodedissection, a total of 192 patients who underwent curative gastrectomy and lymph nodedissection for gastric cancer were analyzed retrospectively. Result: The total rate oflymph node metastasis was 60.4%, with 28.9% of the resected lymph nodes involved. Thelymph node metastasis of C, M, A region and the whole stomach were 64.6%, 57.7%, 59.1% and90.9% respectively. The rates of the lymph node metastasis increased successively incarcinoma of early, middle and late stages (P<0.05), the rate of the infiltrative tumor (Borr Ⅲ ......
您现在查看是摘要页，全文长 31809 字符。