Ⅲ期结肠癌患者淋巴结转移与预后相关性分析

目的 分析结肠癌Ⅲ期手术患者的淋巴结转移检出数目与结肠癌临床预后之间的关系.方法 收集结肠癌100例患者临床病理资料,系统性回访,进行回顾性分析.结果 Ⅲ期结肠癌患者预后与结肠癌根治术中转移淋巴结检出数目相关（P＜0.01）,而与患者的年龄、性别以及肿瘤原发部位、肿瘤直径大小无关（P＞0.05）.结论 Ⅲ期结肠癌根治术清扫淋巴结检出数目是影响结肠癌临床预后的独立因素,结肠癌患者血清中肿瘤指标与淋巴结转移数相关,对于结肠癌临床手术指导淋巴结清扫范围具有一定意义.

Objective To study the relationship between number node identification of Ⅲ stage colon cancer patients with surgery and the prognosis. Methods Retrospective analysis of 100 cases of colon cancer in patients from the Affiliated Hospital of Soochow University were performed, through studying their clinical data and the results of systematic visits. Results The prognosis of patients with colon cancer are associated with the number of intraoperative detection （ P〈0.01 ） , not with age, sex and primary tumor site in patients with tumor diameter （ P〉0.05 ） . Conclusion The number of lymph node detection of colon cancer was an independent factor influencing prognosis of Ⅲ stage colon cancer patients, and the serum tumor markers are associated with lymph node metastasis. The results are important for guiding clinical surgery of lymph node dissection for colon cancer.