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目的:探讨胸段食管鳞癌淋巴结转移规律性。方法:回顾2010年1月至2011年1月采用手术治疗胸段食管鳞癌150例的临床资料,从患者肿瘤部位、肿瘤长度、浸润深度、分化程度和大体病理类型5个方面分析总结影响淋巴结转移的规律。结果:医院内无手术死亡。全组病人淋巴结转移率为50.7%,转移度为16.2%。肿瘤部位、肿瘤长度、浸润深度、分化程度和大体病理类型对淋巴结转移率的影响均有统计学意义。结论:肿瘤部位、肿瘤长度、浸润深度、分化程度是影响胸段食管鳞癌淋巴结转移的重要因素,临床中应注意分析、总结,从而提高手术治疗效果。
Objective: To investigate the regularity of lymph node metastasis in thoracic esophageal squamous cell carcinoma. Methods: The clinical data of 150 cases of thoracic esophageal squamous cell carcinoma were retrospectively analyzed from January 2010 to January 2011. The clinical data of 150 cases with esophageal squamous cell carcinoma of the thoracic spine were retrospectively analyzed from 5 aspects of tumor location, tumor length, depth of invasion, differentiation and gross pathology. Transfer of the law. Results: There was no surgical death in the hospital. All patients with lymph node metastasis rate was 50.7%, the degree of transfer was 16.2%. The location of tumor, length of tumor, depth of invasion, degree of differentiation and gross pathological type had significant effects on lymph node metastasis rate. Conclusion: The location of tumor, the length of tumor, the depth of invasion and the degree of differentiation are the important factors affecting the lymph node metastasis of thoracic esophageal squamous cell carcinoma. In clinical practice, attention should be paid to analyze and summarize to improve the effect of surgical treatment.