【摘要】 【目的】研究胃癌根治手术中肿大淋巴结实际转移状况及其与预后的关系。【方法】查阅胃癌患者的手术记录和术后病理报告单,记录相关资料并随访5年。分析肿大淋巴结数目和性状与淋巴结转移率和预后的关系。【结果】196例胃癌标本中,共摘取淋巴结3 305枚(平均16. 86枚/例); 肿大淋巴结1 037枚(平均5. 29枚/例); 转移淋巴结423枚(平均2. 16枚/例)。随着肿大淋巴结数目增多(尤其多于9个)和质地变硬,淋巴结转移率增加, 5年生存状况下降。【结论】肿大淋巴结的个数、类型、大小、质地均可以帮助手术者在术中较为迅速、准确地判断淋巴结是否发生转移,从而做到合理的淋巴结清扫。更多还原

【Abstract】 To study real metastasis of enlarged lymph nodes in resection for gastric cancer and its correlation to prognosis.The operation notes and pathology reports as well as 5 year follow-up records were referred to.The relationship between the number and character of enlarged lymph nodes, the metastasis and recovery of patients were analysed.A total of 3305 lymph nodes were obtained from the 196 specimens (mean was 16.86 per case). There were 1037 enlarged lymph nodes (mean 5.29 per case) with 423 lymph nodes metastases ( means 2.16 per case) .The metastasis rate increased as the number of enlarged lymph node increased( especially over 9 )and character hardened.however, 5 annual survival rate was declined.[Conclusion]The number、 type、size and character of enlarged lymph nodes will rapidly and accurately help surgeons to judge whether or not lymph node metastases have occurred and so to resect them radically with reason in operation.更多还原