论文部分内容阅读
目的 探索胃癌病人淋巴结转移个数与胃癌病人预后以及病理参数之间的关系。方法 对 174例有淋巴结转移的胃癌病人行胃癌根治术加D2 或D3 淋巴结清扫 ,分析淋巴结转移阳性个数、部位与预后及病理参数之间的关系。结果 胃癌根治术后 (D2 、D3) 5年生存率为 2 9 5 9% (5 0例 )。阳性淋巴结个数为 1～ 5个时 5年生存率为 46 47% (33例 ) ,大于 5个的为 17 35 % (17例 ) (P <0 0 0 5 )。 5年生存率随着阳性淋巴结个数增多而呈下降趋势。随着肿瘤浸润加深 ,淋巴结转移个数增高 (P <0 0 0 5 )。结论 胃癌阳性淋巴结个数与胃癌病人预后有相关性 ,胃癌阳性淋巴结个数可作为简单、有效的预后指标。
Objective To explore the relationship between the number of lymph node metastases in gastric cancer patients and the prognosis and pathological parameters of gastric cancer patients. Methods 174 patients with gastric cancer with lymph node metastasis underwent radical gastrectomy plus D2 or D3 lymph node dissection. The relationship between the number of positive lymph node metastases and the location, prognosis and pathological parameters was analyzed. Results The 5-year survival rate after radical resection of gastric cancer (D2, D3) was 295 (9%). When the number of positive lymph nodes was 1-5, the 5-year survival rate was 46 47% (33 cases), and the 5-year survival rate was 173.5% (17 cases) (P < 0.05). The 5-year survival rate decreased with the increase in the number of positive lymph nodes. With the deepening of tumor invasion, the number of lymph node metastases increased (P < 0.05). Conclusion The number of positive lymph nodes in gastric cancer is related to the prognosis of gastric cancer patients. The number of gastric cancer positive lymph nodes can be used as a simple and effective prognostic indicator.