胃癌全胃切除术73例临床病理分析  

Clinicopathological Analysis of Total Gastrectomy for Gastric Cancer:73 Cases Report

作　　者：朱海涛[1] 吴云飞[1] 安家祥[1] 杨建伟[1] 单吉贤[1] 徐惠绵[1] 

机构地区：[1]中国医科大学第一附属医院肿瘤外科,沈阳市110001

出　　处：《中国肿瘤临床》2007年第19期1117-1120,共4页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨全胃切除术患者的临床病理特点与淋巴结转移的关系。方法:回顾分析我科2004年1月至2006年4月因胃癌行全胃切除术患者的临床及病理资料,进行分析总结。结果:73例胃癌全胃切除术中,淋巴结转移率为83.6%,转移度为35.7%。每例患者平均检取淋巴结数29.03枚,平均转移淋巴结数10.44枚。随肿瘤直径、浸润深度和浆膜受侵面积的增加,胃癌的淋巴结转移率、转移度依次呈递增趋势(P<0.01);在不同的浆膜反应类型、大体分型、生长方式、组织学类型及淋巴结分型下,胃癌的淋巴结转移率、转移度也有显著差异(P<0.01)。结论:对胃癌全胃切除术而言,应按胃癌的临床病理特点,选择合适的淋巴结清除范围。To evaluate the relationship between clinicopathological features of primary gastric cancer and lymph node metastasis after total gastrcctomy. Methods： The clinicopathological data of 73 patients who underwent total gastrectomy and lymph node dissection for gastric cancer from January 2004 to April 2006 were analyzed retrospectively. Results： The total rate of lymph node metastasis was 83.6%, with 35.7% of the reseeted lymph nodes showing involvement. An average of 29.03 regional lymph nodes was removed from each patient, and the mean number of metastatic lymph nodes was 10.44. As the tumor size, invasive depth, and the area of serosa involved increased, the metastatic rate and the number of involved lymph nodes also increased（P〈0.01）. There was a significant difference in the metastatic rate and number of involved lymph nodes depending on the different types of serosal changes, gross Borrmann＇s type, histology, and tumor growth patterns （P〈0.01）. Conclusion： In radical total gastrectomy for gastric cancer, the extent of lymph node dissection should be determined based on its clinicopathological features.

关 键 词：胃癌 全胃切除术 临床病理淋巴结 

分 类 号：R735.2[医药卫生—肿瘤]