直肠癌淋巴结转移影响因素的临床研究  

Influencing factors for lymphatic metastasis of rectal carcinoma

作　　者：殷志韬[1] 孙纪元[2] 吴威[3] 王舒宝[1] 

机构地区：[1]中国医科大学第一临床学院肿瘤科,沈阳110001 [2]辽宁省辽中县人民医院普外科,110200 [3]辽宁省肿瘤医院,沈阳110042

出　　处：《中国实用外科杂志》2004年第3期161-163,共3页Chinese Journal of Practical Surgery

摘　　要：目的　探讨直肠癌淋巴结转移的规律 ,为临床诊断及治疗提供参考。方法　对 1986～ 2 0 0 2年手术治疗的 918例直肠癌的资料进行分类整理 ,分析其与淋巴结转移的关系。结果　肿瘤所在部位与淋巴结转移无明显关系 (P >0 0 5)。Logistic多因素回归分析得出相关因素与淋巴结转移的密切程度依次为 :分化程度 >浸润深度 >侵犯肠管周径 >大体类型 ,分化程度是影响淋巴结转移的最主要因素。结论　直肠癌淋巴结转移与病人年龄、肿瘤大小、侵犯肠管周径、浸润深度、分化程度、大体类型、生长方式相关 。ObjectiveTo explore the nature of lymphatic metastasis of rectal carci noma and help clinical diagnosis and treatment. Method s The data of 918 case s receiving operation between 1986 and 2002 were analyzed for the relat ionship with lymphatic metastasis.ResultsTumor si te was not appar ently related to the lymphatic metastasis (P>0 05). The degree of relevance was as follows by Logistic regression analysis: the differ e ntiating degree of the tumor> the affected depth> the diameter of affected bowel > the massive type of the tumor.The major factor was t he d ifferentiating degree. ConclusionThe lymphatic metastasis of rectal carcinoma is related to age, tumor size, the diameter of affected bowel, the affecte d depth, the differentiating degree of the tumor, the massive type of the tu mor and the growing pattern of the tumor. The dif ferentiating degree is the major influencing factor.

关 键 词：直肠癌 淋巴结转移 诊断 治疗 肿瘤 淋巴管 

分 类 号：R735.37[医药卫生—肿瘤]