CAJ | 학술논문

目的分析低位直肠癌术中行侧方淋巴结清扫的临床价值.方法对低位直肠癌45例患者随机分为侧方清扫组30例行直肠癌扩大根治术(包括上方、侧方淋巴结清扫),传统清扫组15例行传统直肠癌根治术.结果侧方清扫组7例发生侧方淋巴结转移,转移率23.33%,低分化腺癌及黏液腺癌发生侧方淋巴结转移率比高、中分化腺癌高出4倍多,差异有统计学意义(P＜0.05);两组手术时间、失血量比较差异无统计学意义,但侧方清扫组3年生存率明显高于传统清扫组.结论对低位直肠癌行侧方淋巴结清扫可降低盆腔复发,改善患者的生存质量,提高生存率,具有临床应用价值.
목적 분석저위직장암술중행측방림파결청소적림상개치.방법 대저위직장암45례환자수궤분위측방청소조30례행직장암확대근치술(포괄상방、측방림파결청소),전통청소조15례행전통직장암근치술.결과 측방청소조7례발생측방림파결전이,전이솔23.33%,저분화선암급점액선암발생측방림파결전이솔비고、중분화선암고출4배다,차이유통계학의의(P＜0.05);량조수술시간、실혈량비교차이무통계학의의,단측방청소조3년생존솔명현고우전통청소조.결론 대저위직장암행측방림파결청소가강저분강복발,개선환자적생존질량,제고생존솔,구유림상응용개치.
Objective To analyze the application value of side way lymph node cleaned up in the low order rectal cancer operation. Methods 45 cases were randomly divided into two groups:first group was 30 cases, they were used the side way lymph node cleaned up of the rectal cancer broadens the curing once and for all skill;second group was 15 cases,they were used traditional rectal cancer curing once and for all skill. Results 7 cases of 1 group happen the side way lymph nodes transfer,the rate of transform was 23. 33% ,that low disintegration gland cancer and mucus gland cancer happen the rate of the side way lymph nodes transfer was beyond one-fold much than hight and middle disintegration gland cancer( P＜0. 05 ) ,the divergence is obvious. The operation time and amount losing blood of two group is not obvious, but first group's 3 years living rate was more higher than second group. Conclusion To the low order rectal cancer case sufferer that the side way lymph node cleaned up, may cut down the pelvic cavity recurs,obviously improve the living quality,lift the living rate,it has clinical practice value.