摘要
探讨Ⅲa肺癌CT纵隔肺门淋巴结层厚改变与手术切除的关系。全组70例Ⅲa期肺癌患者分别以TNM分类分组和不同手术结果分组,分别测量各组胸部CT肿瘤瘤体直径、纵隔肺门淋巴结受侵CT层厚。TNM分类组T2N2、T3N1、T3N2瘤体直径分别为:4.07±0.92,6.33±3.69,4.94±1.83(x±scm)(P<0.05)。纵隔肺门淋巴结层厚分别为:4.23±2.96,2.76±1.28,4.18±2.07(P>0.05)。不同手术组中根治性切除组、姑息性切除组以及手术探查组瘤体直径分别为:4.55±1.96,4.18±1.60,5.62±3.23(P>0.05),纵隔肺门淋巴结层厚分别为:3.14±1.89,4.35±1.41,5.03±3.05(P<0.05)。Ⅲa期肺癌纵隔肺门淋巴结受侵、CT纵向厚度改变是影响手术切除的重要因素之一。
BJELTIVE To evaluate chest CT and its relation to
possible surgical resection in a lung cancer patients. METHODS Seventy a lung cancer patients
were classified into TNM groups as well as different surgical result group. The diameter of
tumor, the proximity to mediastium and/or the hilum and the invasion of their lymph nodes on
each group were measured. Comparing of these two groups was made if there was any
difference which affected the surgical resection. RESULTS The diameters of tumor at T\-2N\-1,
T\-2N\-2 and T3N\-2 on TNM group were: 4.070.92, 6.333.69, 4.941.83 ( s cm) (P<0.05). The
proximities to mediastinum and/or the hilum and the invasion of their lymph nodes were: 4.232.
96, 2.761.28,4.182.07 ( P >0.05). On the contrary, the diameters of the tumor at the radical
resection group, palliative resection group and thoractomy group on the different surgical group
were: 4.551.96, 4.181.60, 5.623.23 ( P >0.05), and the proximities to mediastium and/or the
hilum and the invasion of their lymph were: 3.141.89, 4.351.41, 5.033.05 ( P <0.05).
CONCLUSION The variety of the proximity to mediastium and/or the hilum and invasion of their
lymph nodes is one of the main factors which affect the surgical resectability in a lung cancer.
出处
《心肺血管病杂志》
CAS
1999年第2期134-136,共3页
Journal of Cardiovascular and Pulmonary Diseases