胃癌淋巴结转移手术的远期疗效分析

The long-term effectiveness of stomach lymph node metastasis surgery

目的:总结胃癌淋巴结转移对手术远期疗效的影响。方法:对1988年1月—2006年6月胃癌手术治疗165例中淋巴结转移的82例临床资料和随访结果进行总结分析。结果:1,3,5年生存率分别为58.5%(48/82),26.8%(22/82)和18.3%(15/82)。按淋巴结转移数进行生存率比较,差异无统计学意义(P>0.05)。结论:临床分期决定其预后;有淋巴结转移的患者,转移仍是其主要死因;术后必要的化疗,可以提高生存率。

Objective：To sum up the long-term effectiveness of stomach lymph node metastasis surgery.Methods：One hundreds and sity-five cases of gastric cancer accepted surgery,the clinical data and follow-up results of 82 cases with stomach lymph node metastasis were summarized from January 1988 to June 2006.Results：The survival rate was（48/82）,26.8%（22/82）,18.3%（15/82） after 1,3,5 years respectively.The difference of lymph node metastasis between groups were not statistically significant（P0.05）.Conclusion：The clinical stages decided its prognosis.For lymph node metastasis patients,transfer is still the main cause for death.Postoperative chemotherapy can improve survival rate.