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直肠癌侧方淋巴转移及其清除的意义
THE LYMPH NODE SIDE METASTASIS OF RECTAL CARCINOMA AND ITS RESECTION
【摘要】 总结分析了我院对543例进展期直肠癌施行扩大根治术的结果。指出国人直肠癌侧方转移率为9.6%;主要发生于腹膜返折以下的癌,占该部的13.9%;侧方转移多见于分化较差的低分化腺癌及粘液腺癌,占21.6%,明显高于高、中分化腺痛的6.5%。由于侧方清除避免了可能发生的10%左右的淋巴结转移癌的残留,提高了生存率。本组5年生存率达48.1%。同时指出侧方淋巴清除时的注意事项。
【Abstract】 543 cases of advanced rectal carcinoma that received extend radical surgeries in our hospital were analyzed. The results showed. The lymph node side metastasis rate of rectal carcino-ma was 9. 6%. It was mainly occurred below the peritoneal reversal (13. 9%). It occurred more often in poor differentiated adenocarcinoma and mucoid carcinoma (21.6%) than the highly and the medium differentiated adenocarcinoma (6.5%). Since side resection can prevent from the lymph node metastasis that might be happened (about 10%). It can improve the survival rate (48.1 % in this trail). The point for attention of side lymph node resection was also indicated.
- 【文献出处】 大肠肛门病外科杂志 ,Journal of Coloproctological Surgery , 编辑部邮箱 ,1998年03期
- 【分类号】R735.37
- 【被引频次】8
- 【下载频次】40