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目的分析胃癌淋巴结清扫术所致淋巴漏的原因及防治方法。方法选择1999年1月至2011年1月在我院行淋巴结清扫术后出现淋巴漏的21例胃癌患者为研究对象,回顾性分析其临床资料,分析胃癌淋巴结清扫术所致淋巴漏的原因及防治方法。结果 21例淋巴漏患者中,行全胃切除术患者比例为71.4%,明显高于行根治性远端半胃切除术的患者;行D2以上根治术的患者比例为76.2%,明显高于行D2方式者。以上P均<0.05。结论胃癌淋巴结清扫术出现淋巴漏与手术方式及淋巴清扫范围密切相关。
Objective To analyze the causes and prevention methods of lymphatic leakage caused by lymph node dissection in gastric cancer. METHODS: Twenty-one patients with gastric lymph nodes who had lymphatic leakage after lymph node dissection in our hospital from January 1999 to January 2011 were selected. The clinical data were analyzed retrospectively to analyze the causes of lymphatic leakage due to lymph node dissection in gastric cancer. Prevention methods. Results Among 21 patients with lymphatic drainage, 71.4% of patients underwent total gastrectomy, which was significantly higher than patients undergoing radical distal hemigastric resection. The proportion of patients who underwent radical gastrectomy for more than D2 was 76.2%, which was significantly higher than that of patients undergoing radical gastrectomy. D2 mode. The above P all <0.05. Conclusion Lymphatic leakage in lymph node dissection of gastric cancer is closely related to the surgical approach and the extent of lymphatic dissection.