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非小细胞肺癌N1组淋巴结系统性清扫的临床意义 被引量:1

Clinical significance of systematical resection of N1 group lymph nodes in patients with non-small cell lung cancer
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摘要 目的探讨系统清扫N1组淋巴结对非小细胞肺癌临床分期的影响。方法对行手术治疗的52例非小细胞肺癌分别进行N1组淋巴结系统性清扫,并结合其临床病理资料进行统计学分析。结果全组淋巴结清扫平均34(15~62)个,其中纵隔淋巴结清扫平均16(8~32)个,N1组淋巴结清扫平均12(6~23)个,13~14组淋巴结清扫平均3(1~6)个。全组中无淋巴结转移(N0)14例,N1组淋巴结转移21例,其中仅第13~14组淋巴结转移者7例。结论 作为肺癌分期的重要指标,对N1组淋巴结术中系统清扫尤其是对第13~14组的清扫并进行病理分析,对于提高肺癌诊断分期的准确性和指导临床治疗具有重要的意义。 Objective To study the clinical significance of systematical resection of NI group lymph nodes in NSCLC patients. Methods Fifty - two cases of pulmonary resection performed at Thoracic Surgery Department of PUMC Hospital were recruited. The N1 group lymph nodes were systematically resected and their clinical and pathological data were analyzed. Results The av- erage number reseeted was 34 ( 15 - 62 ) for total lymph nodes, 16 ( 8 - 32 ) for mediastinal nodes, 12 ( 6 - 23 ) for N1 group nodes, and 3 ( 1 -6)for group No. 13 - 14 lymph nodes, respectively. Fourteen cases of NO and 21 cases of N1 were diagnosed in this group. More important, 7 cases had No. 13 - 14 metastasis only. Conclusions Systematical resection and pathological examination of N1 group lymph nodes, especially, the NO. 13 - 14 lymph nodes can improve the accuracy of lung cancer staging and guide further treatment.
作者 曹磊 任华
出处 《武警医学》 CAS 2011年第5期398-400,共3页 Medical Journal of the Chinese People's Armed Police Force
关键词 非小细胞肺癌 N1组淋巴结 转移 non- small cell lung cancer N1 group lymph nodes metastasis
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