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目的:分析进展期远端胃癌淋巴结转移特点,以指导合理的淋巴结清扫。方法:收集77例进展期远端胃癌患者的临床病理资料,分析其淋巴结转移特点。结果:总淋巴结转移率为79.2%,其中仅第I站转移者占42.9%,第I和II站转移者共占79.2%。第Ⅰ站、Ⅱ站、Ⅲ站淋巴结阳性率各组间区别显著(23.6%VS 12.7%VS5.8%,P<0.01)。结论:进展期远端胃癌D2术式淋巴结清扫较合理。
Objective: To analyze the characteristics of lymph node metastasis in advanced distal gastric cancer to guide rational lymph node dissection. Methods: The clinical and pathological data of 77 patients with advanced gastric cancer were collected and the characteristics of lymph node metastasis were analyzed. Results: The total lymph node metastasis rate was 79.2%. Only 42.9% of the patients in station I and 79.2% of patients in station I and II, respectively. The positive rates of lymph nodes in stations Ⅰ, Ⅱ and Ⅲ were significantly different among groups (23.6% VS 12.7% VS 5.8%, P <0.01). Conclusions: D2-type lymph node dissection in advanced gastric cancer is more reasonable.