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目的:分析直肠癌标本获取的淋巴结数对病理分期的影响。方法:选取我院89例患者的临床资料,将其随机分为2组,其中常规组47例,肉眼下观察获取淋巴结,脂肪清除组42例,用脂肪清除剂浸泡1天后获取淋巴结,对比2组所获得的淋巴结数,分析其出现转移情况以及患者病理分期情况。结果:2组患者标本检出淋巴结情况对比,大小以及数量差异显著,对比有统计学意义(P<0.05),从本次研究中可以看出,2组标本中的转移淋巴结数对比差异显著,对比有统计学意义(P<0.05)。随着淋巴结数量的增多,转移淋巴结检出数量也随之不断增多,导致患者病例区域淋巴结出现分期改变。2组区域淋巴结出现显著差异。结论:在实施直肠癌全系膜切除术后,标本淋巴结数量出现较大变动,直肠癌系膜淋巴结转移与分期相关,同时与淋巴结数量相关。
Objective: To analyze the influence of the number of lymph nodes obtained from rectal cancer specimens on pathological staging. Methods: The clinical data of 89 patients in our hospital were selected and randomly divided into 2 groups, including 47 in the conventional group. The lymph nodes were obtained under the naked eye, and 42 patients underwent adipose clearance group. The lymph nodes were obtained after soaking in fat scavenger for 1 day, Group obtained the number of lymph nodes, analysis of the occurrence of metastasis and the patient’s pathological staging. Results: There was significant difference in size and number of lymph nodes between the two groups (P <0.05). It can be seen from this study that there are significant differences in the number of metastatic lymph nodes between the two groups, The comparison was statistically significant (P <0.05). As the number of lymph nodes increases, the number of metastatic lymph nodes also increases, leading to staging changes in lymph nodes of patients. Two groups of regional lymph nodes showed significant differences. CONCLUSIONS: After the total mesorectal excision of the rectal cancer, the number of lymph nodes in the specimens showed a significant change. The metastasis of the mesorectal cancer was related to the stage and the number of lymph nodes.