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目的 探讨根治性淋巴结清扫在早期胃癌治疗中的作用。方法 回顾性分析１９ 例早期胃癌的淋巴结转移情况及不同术式对生存率的影响。结果 １９ 例早期胃癌中，黏膜癌７ 例，黏膜下癌１２ 例，淋巴结转移率为５２ ．６％ ，第２ 站淋巴结转移率为２１ ．１％ ，Ｄ０ 、Ｄ１ 、Ｄ２ 、Ｄ４ 手术方式分别有１、２ 、１３ 、及３ 例，术后１ 年生存率１００％ 。结论 即使是早期胃癌，治疗上应以Ｄ２ 手术为主，对部分早期胃癌行Ｄ４ 手术，以期提高根治性和生存率。
Objective To explore the role of radical lymphadenectomy in the treatment of early gastric cancer. Methods The retrospective analysis of lymph node metastasis in 19 cases of early gastric cancer and the effect of different surgical methods on the survival rate. Results In 19 cases of early gastric cancer, 7 cases were mucosal carcinoma and 12 cases were submucosal carcinoma. The lymph node metastasis rate was 52. At 6%, the metastasis rate at the 2nd station was 21%. 1%, D0, D1, D2, and D4 were 1, 2, 13, and 3, respectively, and the 1-year survival rate was 100%. Conclusions Even in early gastric cancer, D2 surgery should be the main treatment, and some early gastric cancer should be treated with D4 in order to improve the radical and survival rate.