中华胸心血管外科杂志
中華胸心血管外科雜誌
중화흉심혈관외과잡지
Chinese Journal of Thoracic and Cardiovascular Surgery
2014年
3期
129-132
,共4页
张树亮%郑斌%郑炜%朱勇%郭朝晖%陈椿
張樹亮%鄭斌%鄭煒%硃勇%郭朝暉%陳椿
장수량%정빈%정위%주용%곽조휘%진춘
肺肿瘤%肿瘤分期%肿瘤转移%淋巴结
肺腫瘤%腫瘤分期%腫瘤轉移%淋巴結
폐종류%종류분기%종류전이%림파결
Lung neoplasm%Neoplasm staging%Neoplasm metastasis%Lymph nodes
目的 探讨新版(第7版)肺癌TNM分期中T新分级与淋巴结转移的关系.方法 对513例非小细胞肺癌原发肿瘤大小及淋巴结转移进行回顾性分析,探讨不同大小原发肿瘤中淋巴结转移的情况.结果 肿瘤最大径≤2 cm(T1a)、2 cm＜～≤3 cm(T1b)、3cm＜ ～≤5 cm(T2a)、5cm＜～≤7cm(T2b)、＞7 cm(T3)的淋巴结转移率分别为14.47％、28.89％、37.59％、36.37％、37.89％,T1a与T1b,、T2a、T2b、T3间淋巴结转移率有显著性差异.N1淋巴结转移各组间P＜0.05.N2淋巴结转移例数各组间P＜0.05,T1a与T1b、T2a、T2b间淋巴结转移率比较差异有显著性.T1b与T2a、T2b、T3之间差别有显著性.结论 新版TNM分期中肿瘤大小的新分级与淋巴结转移率有关,其差异主要在N2上;T1a淋巴结转移率低.
目的 探討新版(第7版)肺癌TNM分期中T新分級與淋巴結轉移的關繫.方法 對513例非小細胞肺癌原髮腫瘤大小及淋巴結轉移進行迴顧性分析,探討不同大小原髮腫瘤中淋巴結轉移的情況.結果 腫瘤最大徑≤2 cm(T1a)、2 cm＜～≤3 cm(T1b)、3cm＜ ～≤5 cm(T2a)、5cm＜～≤7cm(T2b)、＞7 cm(T3)的淋巴結轉移率分彆為14.47％、28.89％、37.59％、36.37％、37.89％,T1a與T1b,、T2a、T2b、T3間淋巴結轉移率有顯著性差異.N1淋巴結轉移各組間P＜0.05.N2淋巴結轉移例數各組間P＜0.05,T1a與T1b、T2a、T2b間淋巴結轉移率比較差異有顯著性.T1b與T2a、T2b、T3之間差彆有顯著性.結論 新版TNM分期中腫瘤大小的新分級與淋巴結轉移率有關,其差異主要在N2上;T1a淋巴結轉移率低.
목적 탐토신판(제7판)폐암TNM분기중T신분급여림파결전이적관계.방법 대513례비소세포폐암원발종류대소급림파결전이진행회고성분석,탐토불동대소원발종류중림파결전이적정황.결과 종류최대경≤2 cm(T1a)、2 cm＜～≤3 cm(T1b)、3cm＜ ～≤5 cm(T2a)、5cm＜～≤7cm(T2b)、＞7 cm(T3)적림파결전이솔분별위14.47％、28.89％、37.59％、36.37％、37.89％,T1a여T1b,、T2a、T2b、T3간림파결전이솔유현저성차이.N1림파결전이각조간P＜0.05.N2림파결전이례수각조간P＜0.05,T1a여T1b、T2a、T2b간림파결전이솔비교차이유현저성.T1b여T2a、T2b、T3지간차별유현저성.결론 신판TNM분기중종류대소적신분급여림파결전이솔유관,기차이주요재N2상;T1a림파결전이솔저.
Objective The new lung cancer TNM staging for T staging the new grading.The aim of this study was to investigate the relationship between the T staging and grading of the Seventh Edition and lymph node metastasis of lung cancer.Methods In 513 cases of non-small cell lung cancer primary tumor size and lymph node metastasis were analyzed,and explore the situation of different size,lymph node metastasis in primary tumors.To analyse the collected data with SPSS software.Results The total lymph node metastatic rates in tumor diameter biggest ≤2 cm(T1a) 、2 cm ＜ ～ ≤3 cm(T1b) 、3 cm ＜ ～ ≤5 cm (T2a) 、5 cm ＜ ～ ≤7 cm(T2b) 、＞ 7 cm(T3) were 14.47％ 、28.89％ 、37.59％ 、36.37％ 、37.89％.The lymph node metastatic rate of T1a was significantly different,compared with T1b 、T2a 、T2b and T3,respectively.There were no differences between every two groups of T1b,T2a,T2b and T3.The N1 metastaic rates of T1a 、T1b 、T2a 、T2b 、T3 were compared by chi-square(P ＜0.05),The lymph node metastatic rates of T1a and T2a (P =0.001),T1a and T2b (P =0.024).The N2 metastaic rates of T1a 、T1b 、T2a 、T2b 、T3 were compared by chi-square(P ＜0.05),The lymph node metastatic rate of T 1 a was significantly different,compared with T1b 、T2a and T2b,respectively.The lymph node metastatic rate of T1 b was significantly different,compared with T2a 、T2b and T3,respectively.Conclusion The new T staging of tumor the size of the new classification is associated with lymph node metastasis rate,especially in N2.low T la lymph node metastasis rate.
