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本文报道181例胃癌广泛切除淋巴标本的研究,总淋巴转移率为69%,总转移度为27.7%。其中胃窦癌65例,淋巴转移率50.8%,转移度22.8%;胃体癌45例,淋巴转移率75.5%,转移度22.6%;胃贲门癌33例,淋巴转移率75.7%,转移度23.4%;全胃癌38例,淋巴转移率86.8%,转移度42.6%.胃癌淋巴转移一般由近及远,随着癌肿的增大和向胃壁深度发展时,淋巴转移逐渐向远处扩大。根据胃癌淋巴转移与癌肿生长部位、大小和侵及胃壁深度的关系,制定胃癌淋巴清扫方案,避免了一些不必要全胃切除,提高了胃癌根治切除术后的生存期。
This article reported 181 cases of extensive resection of lymphoid specimens of gastric cancer, total lymphatic metastasis rate was 69%, the total degree of metastasis was 27.7%. Gastric sinus cancer was found in 65 cases. The lymphatic metastasis rate was 50.8%, and the metastasis was 22.8%. Gastric carcinoma was 45 cases. The lymphatic metastasis rate was 75.5%, and the metastatic degree was 22.6%; Gastric cardia cancer was 33 cases, lymphatic metastasis rate was 75.7%, and the degree of metastasis was 23.4. %; The total gastric cancer was 38 cases, the lymphatic metastasis rate was 86.8%, and the metastatic degree was 42.6%. Lymphatic metastasis of gastric cancer was generally near or far. Lymphatic metastasis gradually expanded to distant areas as the cancer enlargement and deeper into the stomach wall. According to the relationship between the lymph node metastasis of gastric cancer and the growth position, size and invasion of gastric cancer and the depth of gastric wall, a lymphatic dissection plan for gastric cancer was established to avoid unnecessary total gastrectomy and improve the survival period after radical gastrectomy for gastric cancer.