大肠癌淋巴结转移度与坏死淋巴结转移度的关系  

The correlation between the metastatic degree of lymph nodes and the metastatic degree of necrotic lymph nodes in colorectal cancer

作　　者：谢克举 韩承新[2] 李宾 李庆跃 张瑞峰[2] 

机构地区：[1]浙江省绍兴市第六人民医院普外科,浙江绍兴312000 [2]武警总医院普外科,北京100036 [3]辽宁省营口开发区中心医院普外科,辽宁营口115000

出　　处：《中国现代医生》2015年第6期60-64,共5页China Modern Doctor

基　　金：辽宁省教育厅;财政厅科学研究一般项目(L2012301)

摘　　要：目的探讨淋巴结转移度(LNR)与坏死淋巴结转移度的关系。方法选择42例确诊为有大肠癌淋巴结转移病例。27例坏死病例,15例无坏死病例。收集所有患者淋巴结转移数目、坏死淋巴结数目及其他资料,分析LNR与坏死淋巴结转移度的关系。结果 42例大肠癌转移淋巴结坏死组转移度(20.9%)较无坏死组转移度(33.2%)低,预后好,差异有统计学意义(χ2=9.688,P=0.002)。结论坏死淋巴结转移度可作为衡量预后的指标,该指标低,预后可能也相对较好。Objective To discuss the correlation between the metastatic degree of lymph nodes and the metastatic de gree of necrotic lymph nodes. Methods All 42 cases diagnosed colorectal cancer were observed with metastasis lymph nodes. In these cases,27 cases were confirmed with necrotic lymph nodes,15 cases were confirmed without necrotic lymph nodes. Data including number of lymph node metastasis,necrotic lymph nodes and others were collected,correlation analyzing were performed between the metastatic degree of lymph nodes and the metastatic degree of necrot ic lymph nodes. Results The study revealed statistical significance between two groups with χ^2=9.688,P=0.0020.05. The necrotic lymph nodes group（20.9%） had lower metastasis and better prognosis compared with non-necrotic lymph nodes group（33.2%）. Conclusion The necrotic lymph node metastasis may be used as prediction index of prognosis in colorectal cancer. Lower index may indicate better prognosis.

关 键 词：大肠癌 淋巴结转移 坏死 转移度 

分 类 号：R735.35[医药卫生—肿瘤]