摘要
目的探讨食管癌手术经右胸清扫颈、胸、腹三野淋巴结的意义和术后的疗效。方法收集经右胸食管癌根治手术365例,对颈、胸、腹三野区域淋巴结进行清扫。分析淋巴结清除总数、淋巴结转移数、淋巴结转移率、手术并发症。结果 365例食管癌患者共清扫淋巴结2866枚,淋巴结转移率为50.95%(186/365),转移度为17.30%(496/2866);不同年龄段患者淋巴结转移率和转移度差异有统计学意义(P<0.01);不同部位食管癌的淋巴结转移率、转移度差异无统计学意义(P>0.05);不同部位淋巴结的转移率和转移度差异有统计学意义(P<0.01);不同肿瘤浸润深度的淋巴结转移率与转移度之间差异有统计学意义(P<0.01)。结论经右胸是行颈、胸、腹三野淋巴结清扫的有效途径,可减少术后的复发率和转移率,提高患者长期生存率。
Objective To explore the significance and effects of systematic lymphadenectomy through right thorax in esophageal carcinoma operation.Methods All 365 cases were systematic lymph node cleaning through right thorax in esophageal carcinoma operation.Analyze total number of dissected lymph node,number of metastatic lymph nodes,metastasis ratio of lymph node,postoperative complication.Results Eliminate total number of lymph nodes were 2866,metastatic lymph nodes were 186,metastastic ratio of lymphy nodes was 50.95%（186/365）,metastastic degree of lymphy nodes was 17.30%（496/2866）.There were singnificant differences among different age（P0.01）.There were no significant differences among esophageal carcinoma position（P0.05）.There were significant differences between position of lymph node（P0.01）.There were significant differences between depth of tumor infiltration（P0.01）.Conclusion Application of systematic lymphadenectomy in esophageal carcinoma operation could decrease postoperative ratio of recurrence and postoperative ratio of metastasis and could raise long-term survival ratio of patient.
出处
《四川医学》
CAS
2010年第9期1290-1292,共3页
Sichuan Medical Journal
关键词
食管癌
手术治疗
经右胸
淋巴结清扫
esophageal cancer
operation
through right thorax
systematic lymphadenectomy
