摘要
作者采用B超引导下经皮胃壁穿刺注墨的方法,对27例胃癌病人术前穿刺注墨,术中观察淋巴结墨染情况,作淋巴结清除术。并与同期31例未穿刺注墨组作对照。结果显示:注墨组平均每例清除淋巴结36个,转移率67%,转移度13%。对照组平均每例清除淋巴结23个,转移率71%,转移度19%。其中n3、n4站淋巴结清除率,注墨组59%,对照组23%(P<0.01)。同内镜下胃壁穿刺注墨比较,B超引导下胃壁穿刺注墨具有指示准确、穿刺成功率高(89%)、病人易接受等优点。
The author introduced a method of clearance of lymph nodes guieded by preoperative percutaneous gastric wall puncture under ultrasonography and injection with china ink. 27 cases of gastric cancer received the method. The dyetaking state of lymph nodes was observed in operation.In comparison with 31 cases without puncture and injection in the same period, number of lymph nodes resected in China ink group averaged 36 vs. 23 in the control group (P<0.05), positive nodes were found in 18 of 27 cases (67%) of China ink group vs. in 22 out of 31 cases (71%) of the control group (P>0.05), and positive nodes totalled up to 126 of all 983 in china ink group (13%) vs.135 of 709 in the control group (19%) (P>0.05).Among them n3 and n4 clearance rate were 16 of 27 cases (59%) in china ink group vs. 7 out of 31 cases (23%) in the control group (P<0.01). China ink injection under ultrasonography as compared with under endoscope have many advantages: accurate indication, high success rate of punture (89%),easy to accept by patients and so on.
出处
《实用癌症杂志》
1997年第4期281-282,共2页
The Practical Journal of Cancer
关键词
胃癌
淋巴结清除术
穿刺
中华墨汁
B超
Gastric carcinoma Clearance of lymph nodes Ultrasonography Puncture China ink