摘要
目的探讨并分析胸中上段食管癌三野淋巴结清扫及二野淋巴结清扫对患者的不同预后情况。方法选择2010年10月至2011年10月我院收治的120例食管癌患者,按淋巴结清扫方式分为三野清扫组跟二野清扫组,每组各60例。二野清扫组采用二野淋巴结清扫治疗,三野清扫组采用三野淋巴结清扫治疗。比较2组经治疗后淋巴结的转移率、手术生存率,以及并发症的发生情况。结果经手术治疗后,三野清扫组淋巴结的转移率分别为18.33%和20.00%,并发症的总发生率为30.00%,均低于二野清扫组;手术生存率为83.33%,明显高于二野清扫组的58.33%,P<0.05,差异具有统计学意义。结论食管癌三野淋巴结清扫,能有效地改善患者的预后,提高临床疗效,具有一定的临床意义。
Objective To explore and analyze the prognosis of three-field lymph node dissection and two-field lymph node dissection for upper thoracic esophageal carcinoma. Methods 120 patients with esophageal carcinoma who were accepted by our hospital from October 2010 to October 2011 were selected as the research subject. They were randomly and equally divided into the three-field lymph node dissec- tion group and the two-field lymph node dissection group. Contrast the rate of lymph nodes metastasis, rate of surgical survival and complica- tions of two groups after treatment. Results After the operation treatment, cervical lymph node and mediastinal lymph node metastasis rates in were 18.33% and 20.00% respectively, and the total incidence of complications is 30.00%. They were all lower than two-field lymph node dissection group. Meanwhile, the survival rate of three-field lymph node dissection group was 83.33% which was obviously higher than 58.33% in the two-field lymph node dissection group with a statistical significance （ P 〈 0.05 ）. Conclusion Three-field lymph node dis- section can effectively improve the prognosis and clinical curative effect in treatment of upper thoracic esophageal carcinoma.
出处
《局解手术学杂志》
2014年第1期62-63,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
食管癌
三野淋巴结
预后
二野淋巴结
esophagus cancer
three-field lymph node
prognosis
two-field lymph node
