摘要
直肠癌根治性切除手术,影响预后的重要因素之一为淋巴结转移问题。本文收集1965～1989年间直肠癌切除手术220例,统计分析了淋巴结转移的规律:总转移率为42.3%,淋巴结转移与癌肿存在部位有关,不同部位向不同方向的转移有明显差异,但腹主动脉周围淋巴结转移主要取决于病理组织类型。讨论了对直肠癌淋巴结转移规律的预测,并对不同部位直肠癌的合理淋巴结廓清,是否保留骶前神经丛等问题提出了自己的观点。
Lymphatic metastasis is one of the most important factors influencing the prognosis of the patients with rectal carcinoma post radical rectectomy.In the present study 220 cases who underwent the radical operation from 1964 to 1989 were reviewed statistically, and the common rule of lymphatic metastasis was studied. The total metastasis ratio of the studied group was 42.3%, and generally Lymphatic metastasis had a close relationship with the tumor position, except those lymphadens around the abdominal aorta whose transference mainy depended upon their pathological histotype.In conclusion, new ideas are suggested about the reasonable lymphadeneetomy in various positions and indications of reservation of nervi splanchnici pelvini.
出处
《南通医学院学报》
1993年第1期8-10,共3页
ACTA Academiae Medicinae Nantong
关键词
淋巴结廓清
骶骨神经
直肠肿瘤
rectal carcinoma, lymphadenectomy
metastasis
nervi splanchnici pelvini
