CAJ | 학술논문

目的：分析112例非小细胞肺癌淋巴结的转移规律。方法对112例肺癌患者施行手术切除并行广泛肺门、叶间及纵隔淋巴结清扫术。术后病理资料进行统计分析。结果在共清除898组淋巴结中，单纯N1淋巴结转移率为24.1％，N2（包括N1＋N2）淋巴结转移率30.4％。原发肺癌（T）分期T1、T2、T3间淋巴结转移率差异有统计学意义（P＜0.01）。跳跃式转移占N2转移的35.3％。结论非小细胞肺癌的淋巴结转移与T分期有关，具有较多的跳跃性纵隔淋巴结转移发生，肿瘤部位及肺癌的病理学类型与淋巴结的转移无明显关系。外科治疗中应注意广泛清扫肺内、同侧纵隔淋巴结才有可能达到根治目的。
목적：분석112례비소세포폐암림파결적전이규률。방법대112례폐암환자시행수술절제병행엄범폐문、협간급종격림파결청소술。술후병리자료진행통계분석。결과재공청제898조림파결중，단순N1림파결전이솔위24.1％，N2（포괄N1＋N2）림파결전이솔30.4％。원발폐암（T）분기T1、T2、T3간림파결전이솔차이유통계학의의（P＜0.01）。도약식전이점N2전이적35.3％。결론비소세포폐암적림파결전이여T분기유관，구유교다적도약성종격림파결전이발생，종류부위급폐암적병이학류형여림파결적전이무명현관계。외과치료중응주의엄범청소폐내、동측종격림파결재유가능체도근치목적。
Objective To analyze the lymph node metastasis rules of non-small cell lung cancer (NSCLC). Methods 1 1 2 cases of lung cancer patients were given surgical resection and lymph node dissection of extensive hi-lar parallel,leaves room and mediastinuml.Pathological data were statistically analyzed.Results A total of 898 groups of lymph nodes were removed.The metastatic rates of N1 and N2 (including N1 +N2)nodes were 24.1%and 30.4%.There were significant differences in lymph node metastasis existed among primary lung cancer (T) stage T1 ,T2 and T3 (P<0.01 ).Solitary metastatic nodes accounted for 35.3%of N2 metastatic nodes.Conclusion Lymph node metastasis is related with T staging of NSCLC,with more jumping mediastinal lymph node metastasis. There is no significant relationship between tumor location and type of lymph node metastasis.Surgical treatment should pay attention to a wide range of cleaning lungs and ipsilateral mediastinal lymph nodes.