中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2010年
5期
345-348
,共4页
刘瑞廷%车向明%樊林%赵伟%王光辉%张丹杰%何纪恩%林子晶
劉瑞廷%車嚮明%樊林%趙偉%王光輝%張丹傑%何紀恩%林子晶
류서정%차향명%번림%조위%왕광휘%장단걸%하기은%림자정
胃肿瘤%肿瘤转移%淋巴结切除术%病理学,临床
胃腫瘤%腫瘤轉移%淋巴結切除術%病理學,臨床
위종류%종류전이%림파결절제술%병이학,림상
Stomach neoplasms%Neoplasm metastasis%Lymphadenectomy%Pathology,clinical
目的 探讨胃窦(胃L区)癌的淋巴结转移规律与临床病理因素之间的关系及其临床意义.方法 对2006年6月至2007年12月期间于西安交通大学医学院第一附属医院进行胃窦癌根治性淋巴结清扫手术的129例患者的手术切除标本进行解剖,分组收集切除淋巴结,逐枚进行病理组织学检查,判断淋巴结是否转移并计算各组淋巴结转移率,分析其与肿瘤大小、肿瘤部位、浸润深度、组织学类型、Borrmann分型等方面的关系.结果 本组129例胃窦癌患者的淋巴结转移阳性80例(62%).共收获3295枚淋巴结,平均每例25.54枚,中位数24枚/例,转移淋巴结数889枚.胃窦癌患者No.1、No.3、No.4d、No.5、No.6、No.7、No.8a、No.9、No.11p、No.12a、No.14v各组淋巴结转移率分别为18.60%、48.84%、37.98%、38.76%、44.19%、31.01%、10.85%、14.73%、4.65%、1.55%及0.78%,其中以No3和No6组为最高.结论 在实施胃癌根治手术时,应综合考虑各临床病理因素,并结合胃窦区胃癌淋巴结分组、分站转移的特点,合理选择淋巴结清扫范围,以达到根治目的.
目的 探討胃竇(胃L區)癌的淋巴結轉移規律與臨床病理因素之間的關繫及其臨床意義.方法 對2006年6月至2007年12月期間于西安交通大學醫學院第一附屬醫院進行胃竇癌根治性淋巴結清掃手術的129例患者的手術切除標本進行解剖,分組收集切除淋巴結,逐枚進行病理組織學檢查,判斷淋巴結是否轉移併計算各組淋巴結轉移率,分析其與腫瘤大小、腫瘤部位、浸潤深度、組織學類型、Borrmann分型等方麵的關繫.結果 本組129例胃竇癌患者的淋巴結轉移暘性80例(62%).共收穫3295枚淋巴結,平均每例25.54枚,中位數24枚/例,轉移淋巴結數889枚.胃竇癌患者No.1、No.3、No.4d、No.5、No.6、No.7、No.8a、No.9、No.11p、No.12a、No.14v各組淋巴結轉移率分彆為18.60%、48.84%、37.98%、38.76%、44.19%、31.01%、10.85%、14.73%、4.65%、1.55%及0.78%,其中以No3和No6組為最高.結論 在實施胃癌根治手術時,應綜閤攷慮各臨床病理因素,併結閤胃竇區胃癌淋巴結分組、分站轉移的特點,閤理選擇淋巴結清掃範圍,以達到根治目的.
목적 탐토위두(위L구)암적림파결전이규률여림상병리인소지간적관계급기림상의의.방법 대2006년6월지2007년12월기간우서안교통대학의학원제일부속의원진행위두암근치성림파결청소수술적129례환자적수술절제표본진행해부,분조수집절제림파결,축매진행병리조직학검사,판단림파결시부전이병계산각조림파결전이솔,분석기여종류대소、종류부위、침윤심도、조직학류형、Borrmann분형등방면적관계.결과 본조129례위두암환자적림파결전이양성80례(62%).공수획3295매림파결,평균매례25.54매,중위수24매/례,전이림파결수889매.위두암환자No.1、No.3、No.4d、No.5、No.6、No.7、No.8a、No.9、No.11p、No.12a、No.14v각조림파결전이솔분별위18.60%、48.84%、37.98%、38.76%、44.19%、31.01%、10.85%、14.73%、4.65%、1.55%급0.78%,기중이No3화No6조위최고.결론 재실시위암근치수술시,응종합고필각림상병리인소,병결합위두구위암림파결분조、분참전이적특점,합리선택림파결청소범위,이체도근치목적.
Objective To investigate lymph node metastases in distal gastric cancer and its clinical significance. Methods From June 2006 to December 2007, 129 distal gastric cancer patients underwent radical gastrectomy with lymphadenectomy. Dissected lymph nodes were collected in groups, and histopathological studies were performed to detect lymph node metastasis. The relationship between lymph node metastasis and tumor parameters such as diameter, location, infiltrating depth, histological category,Borrmann typing was evaluated. Results Lymph node metastases was found in 80 out of 129 patients (62%). A total of 3295 lymph nodes were harvested with an average of 25.54 lymph nodes per patient,among those 889 lymph nodes were identified with metastasis. The metastasis rate was 18.60%, 48. 84%,37. 98%, 38. 76%, 44. 19%, 31.01%, 10. 85%, 14. 73%, 4. 65%, 1.55% and 0. 78% respectively in No. 1, No. 3, No. 4d, No. 5, No. 6, No. 7, No. 8a, No. 9, No. 11 p, No. 12a, No. 14v lymph node group.No. 3 and No. 6 group nodes were moat frequently invaded by metastasis. Conclusion This study provides the regular pattern of lymph node metastasis in distal gastric carcinoma patients undergoing radical gastrectomy and perigastric lymphadectomy which helps to guide lymphadectomy in terms of less trauma and favorite prognosis.
