贵州医科大学学报

2018, v.43;No.208(01) 70-74

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

胃癌患者临床病理参数与NO.14v组淋巴结转移的关系
Relationship between Clinicopathological Parameters and NO.14v Lymph Node Metastasis in Patients with Gastric Cancer

徐荣;
XU Rong;Hospital of Traditional Chinese Medicine in Guang'an City;

摘要(Abstract):

目的:分析胃癌患者临床病理参数与NO.14v淋巴结转移的关系。方法:行全胃切除和远端胃切除治疗的84例胃癌患者的手术资料,所有患者均摘取No.14v组淋巴结送病理检查,根据检查结果分为NO.14v淋巴结转移转移组与非转移组,分析胃癌患者的性别、年龄、肿瘤浸润深度、临床分期、肿瘤细胞分化程度等临床病理参数与NO.14v组淋巴结转移的关系。结果:84例患者检出NO.14v淋巴结转移25例、转移率为29.76%,共检出阳性淋巴结43枚、每例患者1~3枚、平均(1.7±0.3)枚;肿瘤直径>4 cm、肿瘤根除程度为R1或R2、肿瘤T分期为T3~T4期、肿瘤N分期为N3期、M分期为M1分期的患者,发生NO.14v淋巴结转移的比例明显高于未转移患者,差异有统计学意义(P<0.05);多因素分析显示,T分期、N分期、M分期均为导致胃癌患者NO.14v淋巴结转移的独立危险因素(P<0.05)。结论:胃癌患者TNM分期与NO.14v淋巴结转移存在相关性,病理分期越晚的胃癌患者NO.14v淋巴结转移风险较高。
Objective: To analyze the relationship between clinicopathological parameters and NO.14 v lymph node metastasis in patients with gastric cancer. Methods: The clinical data of 84 patients with gastric cancer who underwent total gastrectomy or distal gastrectomy in our hospital from August2014 to August 2017 were collected. According to the examination results,they were divided into NO.14 v lymph node metastasis group and non metastasis group. The relationship of clinical and pathological parameters including patients' sex,age,depth of tumor invasion,clinical stages and tumor cell differentiation with lymph node metastasis of NO. 14 v was analyzed. Results: Among the 84 patients,25 were detected with NO. 14 v lymph node metastases,and the metastasis rate was 29. 76%. A total of 43 positive lymph nodes were found,which showed each patient had 1 ~ 3,with an average of 1. 7 ± 0. 3.The proportions of tumor diameter > 4 cm,R1 or R2 tumor eradication,tumor T stage of T3 ~ T4,N stage of N3,and M stage of M1 in metastasis group were significantly higher than those in non-metastasis group( P < 0. 05). Multivariate analysis showed that T stage,N stage,and M stage were independent risk factors for NO. 14 v lymph node metastasis in patients with gastric cancer( P < 0. 05).Conclusion: There is a correlation between TNM stages and NO. 14 v lymph node metastasis in patients with gastric cancer. The later the pathological stage is,the higher the risk of NO. 14 v lymph node metastasis is.

关键词(KeyWords): 胃肿瘤;淋巴转移;根治术;病理学
gastric cancer;lymph node metastasis;radical resection;pathology

Abstract:

Keywords:

基金项目(Foundation): 四川省卫计厅项目(1303581)

作者(Author): 徐荣;
XU Rong;Hospital of Traditional Chinese Medicine in Guang'an City;

Email:

DOI:

参考文献(References):

文章评论(Comment):

序号(No.) 时间(Time) 反馈人(User) 邮箱(Email) 标题(Title) 内容(Content)
反馈人(User) 邮箱地址(Email)
反馈标题(Title)
反馈内容(Content)
扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享