CAJ | 학술논문

目的探讨胃癌(EGC)的淋巴结转移状态与病理特征的相关性.方法对234例胃癌患者病理资料进行分析，分析淋巴结转移状态与病理特征的相关性.结果234例EGC患者中36例有淋巴结转移，转移率15.39%.EGC淋巴结转移与肿瘤直径、大体类型、组织学类型、浸润深度、淋巴管侵犯密切相关(P<0.05或P<0.01)，与患者年龄、性别、肿瘤部位、病灶数、病理类型无关.结论确定胃癌手术方案时，可参考肿瘤大小、肿瘤分化程度、浸润深度、淋巴管癌栓等因素判断淋巴结转移风险，决定是否行淋巴结清扫术.
목적탐토위암(EGC)적림파결전이상태여병리특정적상관성.방법대234례위암환자병리자료진행분석，분석림파결전이상태여병리특정적상관성.결과234례EGC환자중36례유림파결전이，전이솔15.39%.EGC림파결전이여종류직경、대체류형、조직학류형、침윤심도、림파관침범밀절상관(P<0.05혹P<0.01)，여환자년령、성별、종류부위、병조수、병리류형무관.결론학정위암수술방안시，가삼고종류대소、종류분화정도、침윤심도、림파관암전등인소판단림파결전이풍험，결정시부행림파결청소술.
Objective to explore the gastric cancer (EGC) state of lymph node metastasis and pathological characteristics of the correlation. Methods 234 cases of patients with gastric cancer pathological material to carry on the analysis, analysis of the state of lymph node metastasis and pathological characteristics of the correlation. Results 234 cases of patients with 36 cases of EGC have lymph node metastasis, the metastasis rate 15.39%. EGC lymph node metastasis and tumor diameter, gross type, histology, infiltration depth, lymphatic invasion is closely related to the (P < 0.05 or P < 0.01), and the patients age, sex, tumor site, lesions number, pathological types have nothing to do. Conclusion sure stomach cancer surgery scheme, may refer to tumor size, tumor differentiation degree, infiltration depth, lymphatic cancer bolt factors such as the judge lymph node metastasis risk, to decide whether to do lymph node dissections.