CAJ | 학술논문

目的：探讨胃癌患者淋巴结转移特征及其在外科治疗中的临床意义。方法回顾性分析行手术治疗的460例胃癌患者的临床资料，就其淋巴结转移特征，按照肿瘤TNM分期、原发灶大小以及Borrmann大体分型分别对患者进行分组，比较组间淋巴结转移发生率的差异。结果460例患者中，320例检出淋巴结转移，淋巴结转移发生率69．57％（320／460）。淋巴结转移发生率与胃癌的TNM分期、原发灶大小以及Borrmann大体分型相关，TNM分期越晚、原发灶直径越大、Borrmann大体分型级别越高，则患者淋巴结转移发生率越高，组间差异有统计学意义（P＜0．05）。结论淋巴结转移发生率与胃癌患者的肿瘤TNM分期、原发灶大小以及Borrmann大体分型相关。
목적：탐토위암환자림파결전이특정급기재외과치료중적림상의의。방법회고성분석행수술치료적460례위암환자적림상자료，취기림파결전이특정，안조종류TNM분기、원발조대소이급Borrmann대체분형분별대환자진행분조，비교조간림파결전이발생솔적차이。결과460례환자중，320례검출림파결전이，림파결전이발생솔69．57％（320／460）。림파결전이발생솔여위암적TNM분기、원발조대소이급Borrmann대체분형상관，TNM분기월만、원발조직경월대、Borrmann대체분형급별월고，칙환자림파결전이발생솔월고，조간차이유통계학의의（P＜0．05）。결론림파결전이발생솔여위암환자적종류TNM분기、원발조대소이급Borrmann대체분형상관。
Objective To investigate the characterization of lymph node metastasis and its clinical significance in surgical treatment of gastric cancer.Methods The clinical data of 460 gastric cancerpatients who underwent surgical resection were reviewed retrospectively.Patients were divided into differentgroups according to the TNM classification,diameter of the primary lesion and Borrmann type.The incidence of lymph node metastasis was compared between groups.Results Lymph node metastasis was observed in 320(69.57%,320 /460)of the patients.The ratio of lymph node metastasis was positively thecorrelated with TNMclassification,diameter of the primary lesion and Borrmann type.Advanced TNMstageand Borrmann type and larger diameter of the primary lesion suggested a high incidence of lymph node metastasis(P <0.05).Conclusion The incidence of lymph node metastasis is correlated to TNMclassification,diameter of the primary lesion and Borrmann type in patients with gastric cancer.