肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2008年
10期
679-681
,共3页
王春利%张双平%冯守山%韩斐%马炎炎%郭伟%童国平%游志恒%郭棕亮%王晓军
王春利%張雙平%馮守山%韓斐%馬炎炎%郭偉%童國平%遊誌恆%郭棕亮%王曉軍
왕춘리%장쌍평%풍수산%한비%마염염%곽위%동국평%유지항%곽종량%왕효군
食管肿瘤%外科手术%淋巴转移%预后%存活率分析
食管腫瘤%外科手術%淋巴轉移%預後%存活率分析
식관종류%외과수술%림파전이%예후%존활솔분석
Esophageal neoplasms%Surgical prcedures operative%Lymphatic metastasis%Prognosis%Survival analysis
目的 探讨胸段食管癌转移淋巴结数最与食管癌预后的关系.方法 分析1995年7月至2005年7月在山西省肿瘤医院行胸段食管癌根治术的患者1140例的临床资料,并进行生存情况分析.结果 淋巴结转移数量与食管癌的生存率呈负相关(P=0.000);患者淋巴结切除数量≥8枚、<8枚时,淋巴结转移度差异有统计学意义(P=0.000).结论 食管癌淋巴结转移数量与患者预后呈显著相关性,能反映其预后,建议pTNM分期将淋巴结转移数考虑在N1内.
目的 探討胸段食管癌轉移淋巴結數最與食管癌預後的關繫.方法 分析1995年7月至2005年7月在山西省腫瘤醫院行胸段食管癌根治術的患者1140例的臨床資料,併進行生存情況分析.結果 淋巴結轉移數量與食管癌的生存率呈負相關(P=0.000);患者淋巴結切除數量≥8枚、<8枚時,淋巴結轉移度差異有統計學意義(P=0.000).結論 食管癌淋巴結轉移數量與患者預後呈顯著相關性,能反映其預後,建議pTNM分期將淋巴結轉移數攷慮在N1內.
목적 탐토흉단식관암전이림파결수최여식관암예후적관계.방법 분석1995년7월지2005년7월재산서성종류의원행흉단식관암근치술적환자1140례적림상자료,병진행생존정황분석.결과 림파결전이수량여식관암적생존솔정부상관(P=0.000);환자림파결절제수량≥8매、<8매시,림파결전이도차이유통계학의의(P=0.000).결론 식관암림파결전이수량여환자예후정현저상관성,능반영기예후,건의pTNM분기장림파결전이수고필재N1내.
Objective To study the effect of positive lymph node number on the survival of patients with esophageal carcinoma. Methods From July 1995 to July 2005, a total of 11,447 resected lymph nodes were obtained from 1140 patients who underwent curative resection of the primary tumor with systematic lymphadenectomy at Shanxi cancer hospital. The survivals were analysed by life tables and Kaplan-Meier methods, the related factors of lymph node metastasis were assessed by Chi-square test. Results The number of positive lymph nodes was negatively related to survival rates of esophageal carcinoma. According to the number of lymph nodes resected (≥8 nodes versus <8 nodes), there was significant difference in metastatic lymph node ratio. Conclusion The number of positive lymph node can reflect the prognosis of patients better. The authors suggest that the modification of the tumor-lymphnode-metastasis (TNM) staging classification (TNM) to include the number of positive lymph nodes in the N1 category.
