重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2013年
30期
3619-3621
,共3页
张伟国%安伟德%陈更%胡祥
張偉國%安偉德%陳更%鬍祥
장위국%안위덕%진경%호상
胃肿瘤%14v组淋巴结%清扫%肿瘤转移
胃腫瘤%14v組淋巴結%清掃%腫瘤轉移
위종류%14v조림파결%청소%종류전이
gastric neoplasms%14v group lymph nodes%dissection%neoplasm metastasis
目的：研究清扫胃癌患者第14v组淋巴结，并分析其转移情况，探讨14v组淋巴结转移的影响因素及对预后的影响。方法回顾性分析2004年3月至2012年3月120例接受胃癌根治术清扫14v组淋巴结的患者资料。结果胃下部癌患者检出176枚14v组淋巴结，29枚发生转移；TNM分期Ⅳ期5例、ⅢC期7例发生14v组淋巴结转移，转移率分别为50．0％、33．3％；BorrmannⅣ型4例、Ⅲ型11例发生14v组淋巴结转移，转移率分别为80．0％、30．6％，高于Ⅰ、Ⅱ型病例（P＜0．05）。发生14v组淋巴结转移病例中15例侵透浆膜（83．3％），侵犯周围器官。14v组淋巴结转移患者5年生存率为7．7％。结论肿瘤位置、分期、Borrmann分型、侵犯周围组织与第l4v组淋巴结的转移有一定关系；分期较晚患者行14v组淋巴结清扫难以获得较满意的预后。
目的：研究清掃胃癌患者第14v組淋巴結，併分析其轉移情況，探討14v組淋巴結轉移的影響因素及對預後的影響。方法迴顧性分析2004年3月至2012年3月120例接受胃癌根治術清掃14v組淋巴結的患者資料。結果胃下部癌患者檢齣176枚14v組淋巴結，29枚髮生轉移；TNM分期Ⅳ期5例、ⅢC期7例髮生14v組淋巴結轉移，轉移率分彆為50．0％、33．3％；BorrmannⅣ型4例、Ⅲ型11例髮生14v組淋巴結轉移，轉移率分彆為80．0％、30．6％，高于Ⅰ、Ⅱ型病例（P＜0．05）。髮生14v組淋巴結轉移病例中15例侵透漿膜（83．3％），侵犯週圍器官。14v組淋巴結轉移患者5年生存率為7．7％。結論腫瘤位置、分期、Borrmann分型、侵犯週圍組織與第l4v組淋巴結的轉移有一定關繫；分期較晚患者行14v組淋巴結清掃難以穫得較滿意的預後。
목적：연구청소위암환자제14v조림파결，병분석기전이정황，탐토14v조림파결전이적영향인소급대예후적영향。방법회고성분석2004년3월지2012년3월120례접수위암근치술청소14v조림파결적환자자료。결과위하부암환자검출176매14v조림파결，29매발생전이；TNM분기Ⅳ기5례、ⅢC기7례발생14v조림파결전이，전이솔분별위50．0％、33．3％；BorrmannⅣ형4례、Ⅲ형11례발생14v조림파결전이，전이솔분별위80．0％、30．6％，고우Ⅰ、Ⅱ형병례（P＜0．05）。발생14v조림파결전이병례중15례침투장막（83．3％），침범주위기관。14v조림파결전이환자5년생존솔위7．7％。결론종류위치、분기、Borrmann분형、침범주위조직여제l4v조림파결적전이유일정관계；분기교만환자행14v조림파결청소난이획득교만의적예후。
Objective Through investigate dissection of 14v group lymph node of patients with gastric cancer and its metastasis , to explore the influence factors and prognosis of dissection of 14v group lymph node .Methods 120 cases of gastric cancer patients who underwent radical gastrectomy and dissected 14v group lymph node since Mar .2004 to Mar .2012 were analyzed ,through his-topathological and immunohistochemical examination to detect the 14v group lymph node metastasis and calculation .Results Gas-tric antrum carcinoma were detected 176 nodes ,29 nodes were metastasis ,but there were none in other places .About TNM classifi-cation ,14v group lymph node metastasis among patients in stage Ⅳ(5 cases) was 50 .0% ,in stage ⅢC(7 cases)was 33 .3% ;About Borrmann classification ,14v group lymph node metastasis among patients in borrmann type Ⅳ (4cases) was 80 .0% ,in stage Ⅲ(11cases) was 30 .6% ,which were higher than that of other types(P<0 .05) .Among the 18 cases which had 14v group lymph node metastasis ,15 cases(83 .3% )invaded serosa ,invading the surrounding organs .The 5 year rate of 14v group metastasis patients was 7 .7% .Conclusion Gastric carcinoma tumor size ,tumor stage ,Borrmann classification ,invading the surrounding organs and tissues and metastasis in 14v group lymph node have a certain relationship .14v lymph node dissection for lately TNM stage gastric tumor has no certain significance .
