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胃癌淋巴结转移规律,国内、外虽已有研究,但为数不多。鉴于国内尸解开展差,手术标本材料的仔细检查便很重要。类似本文工作,国内他处也有进行,本文工作不无缺点,淋巴结的采集有嫌不足,是今后应力求改善所在。本文报道261例胃癌根治标本的研究(R_2233例,R_328例),其中胃窦部癌130例,贲门部癌75例,胃体癌46例和全胃癌10例,总的淋巴结转移率为73.9％,淋巴结转移度为36.1％。认为胃瘤的淋巴结转移规律十分复杂,主要和原发部位、癌瘤浸润胃壁的深度以及癌瘤大小有密切关系。因此施行合理的根治术,必须根据以上3个因素结合患者的全身具体情况综合考虑,才能制定出较合理的胃癌手术切除范围。
Although lymph node metastasis of gastric cancer has been studied at home and abroad, it is rare. In view of the poor conduct of domestic autopsy, a careful examination of surgical specimen materials is important. Similar to the work of this article, it is also performed elsewhere in China. The work of this article is not without defects, and the collection of lymph nodes is insufficient. This article reported 261 cases of radical resection of gastric cancer (R_2233 cases, R_328 cases), including 130 cases of gastric antrum cancer, gastric cardia cancer in 75 cases, 46 cases of gastric cancer and total gastric cancer in 10 cases, the total lymph node metastasis rate was 73.9% The degree of lymph node metastasis was 36.1%. It is considered that the lymph node metastasis of gastric cancer is very complicated, and it is mainly related to the location of the primary tumor, the depth of the infiltrating stomach wall of the cancer, and the size of the cancer. Therefore, the implementation of a reasonable radical surgery, must be based on the above three factors combined with the patient’s overall situation and comprehensive consideration, in order to develop a more reasonable range of surgical resection of gastric cancer.