摘要
目的:探讨食管癌术后淋巴结转移的规律及影响因素。资料与方法:分析63例食管癌术后淋巴结转移CT表现及转移淋巴结分布,对手术加放、化疗与单纯手术治疗者,及术前淋巴结转移阳性与阴性患者,术后淋巴结转移时间对比并进行统计学分析。结果:食管癌术后淋巴结转移最常见于2R区、7区及2L区。手术加放、化疗与单纯手术治疗及术前有否淋巴结转移,其术后淋巴结转移时间有明显差异。结论:食管癌术后淋巴结转移受多种因素影响,若能合理的结合放、化疗,可延长食管癌术后淋巴结转移时间,提高生存率。CT是食管癌术后淋巴结转移的有效诊断方法。
Objective: To evaluate the progress and factors that influenced lymphatic metastasis in patients with esophageal carcinoma after operation. Materials and Methods: CT findings and distribution of lymphatic metastasis in 63 patients with esophageal carcinoma after operation were analyzed. The time of lymphatic metastasis in patients with esophageal carcinoma treated by operation plus chemoradiation and operation only were compared with the preoperation lymphatic status. Results: The common locations of lymphatic metastasis in patients with esophageal carcinoma after surgery were 2R, 7 and 2L areas in mediastinum. There were significantly difference in time of lymphatic metastasis between patients with esophageal carcinoma treated by chemoradiation plus operation and only operation, and patients with different lymphatic metastasis before operation. Conclusion: Lymphatic metastasis in patients with esophageal carcinoma postoperatively were influenced by many factors. Combining with radiation and/or chemotherapy, the time of lymphatic metastasis could be delayed. CT is an effective method in diagnosing lymphatic metastasis in patients with esophageal carcinoma after operation.
出处
《中国临床医学影像杂志》
CAS
2003年第3期161-163,共3页
Journal of China Clinic Medical Imaging
关键词
食管肿瘤
肿瘤转移
淋巴转移
体层摄影术
x线计算机
esophageal neoplasms
neoplasm metastasis
lymphatic metastasis
tomography, X-ray computed
