112例非小细胞肺癌淋巴结转移规律分析  

Clinical research of lymph node metastasis rules of non-small cell lung cancer

作　　者：王可兵[1] 杨锦雷[1] 陈建华[1] 龚磊[1] 史冬森[1] 吴伟[1] 

机构地区：[1]合肥市第一人民医院胸外科,安徽合肥230061

出　　处：《临床肺科杂志》2015年第2期234-236,共3页Journal of Clinical Pulmonary Medicine

摘　　要：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。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.

关 键 词：非小细胞肺癌 淋巴结转移 淋巴结切除术 

分 类 号：R734.2[医药卫生—肿瘤]