临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2009年
7期
1-3
,共3页
余永东%郑仰%姚学清%林锋
餘永東%鄭仰%姚學清%林鋒
여영동%정앙%요학청%림봉
直肠癌%全直肠系膜切除术%病理
直腸癌%全直腸繫膜切除術%病理
직장암%전직장계막절제술%병리
Rectal adenocarcinoma%TME%Pathology
目的 探讨直肠癌直肠系膜全切除术的临床病理依据.方法 对102例具有较完整临床病理资料行直肠癌直肠系膜全切除术直肠癌组织、癌旁组织、直肠系膜进行常规病理切片,分析直肠系膜与直肠癌的分化程度、临床分期、淋巴结转移的关系及治疗效果.结果 直肠系膜癌转移均与癌组织分化程度、临床分期、淋巴结转移有相关性(P<0.05).结论 直肠癌直肠系膜全切除术是治疗直肠癌的最佳途径,切除的直肠系膜的范围应根据Dukes分期、肿瘤的分化程度及肿瘤浸润肠壁的深度区别对待.
目的 探討直腸癌直腸繫膜全切除術的臨床病理依據.方法 對102例具有較完整臨床病理資料行直腸癌直腸繫膜全切除術直腸癌組織、癌徬組織、直腸繫膜進行常規病理切片,分析直腸繫膜與直腸癌的分化程度、臨床分期、淋巴結轉移的關繫及治療效果.結果 直腸繫膜癌轉移均與癌組織分化程度、臨床分期、淋巴結轉移有相關性(P<0.05).結論 直腸癌直腸繫膜全切除術是治療直腸癌的最佳途徑,切除的直腸繫膜的範圍應根據Dukes分期、腫瘤的分化程度及腫瘤浸潤腸壁的深度區彆對待.
목적 탐토직장암직장계막전절제술적림상병리의거.방법 대102례구유교완정림상병리자료행직장암직장계막전절제술직장암조직、암방조직、직장계막진행상규병리절편,분석직장계막여직장암적분화정도、림상분기、림파결전이적관계급치료효과.결과 직장계막암전이균여암조직분화정도、림상분기、림파결전이유상관성(P<0.05).결론 직장암직장계막전절제술시치료직장암적최가도경,절제적직장계막적범위응근거Dukes분기、종류적분화정도급종류침윤장벽적심도구별대대.
Objective To discuss the clinicopathologic evidence for total mesorectal excision(TME) in rectal cancer. Methods Tissues of rectal cancer, tissues around the tumor and tissues of the mesorectum were all obtained from 102 patients who proceeded to TME procedure. Pathological sections were performed to analyze the relationship between the state of mesorectum and the differentiation, staging, lym-phadenopathy of rectal cancer, also analyze the effect of treatment. Results There was correlation(P<0.05) between metastasis to mesoreetum and the differentiation, staging, lymphadenopathy of cancer. Conclusions TME was the best of choice for the treatment of rectal cancer. The extent of mesorectum to be excised depended on Dukes staging, differentiation and depth of infiltration of the tumor.
