论文部分内容阅读
目的探讨中晚期非小细胞肺癌纵隔淋巴结合理的手术清扫范围和临床意义。方法回顾性分析2009年1月至2010年8月收治的46例中晚期非小细胞肺癌纵隔淋巴结清扫手术。结果本组共发现共清除纵隔淋巴结262组,病理证实有转移的90组,占34.3%。跳跃性N2在鳞癌和腺癌发生率的差别经检验无统计学意义(P>0.05)。结论非小细胞肺癌患者的淋巴结转移具有跳跃性和多发性的特点,只有广泛清扫纵隔淋巴结才有可能达到根治,临床意义重大。
Objective To explore the range and clinical significance of surgical dissection of mediastinal lymph nodes in advanced non-small cell lung cancer. Methods A retrospective analysis of mediastinal lymph node dissection in 46 patients with advanced non-small cell lung cancer admitted from January 2009 to August 2010 was performed. Results A total of 262 mediastinal lymph nodes were found in this group, of which 90 were confirmed as pathologically confirmed (34.3%). There was no significant difference in the incidence of skip N2 between squamous cell carcinoma and adenocarcinoma (P> 0.05). Conclusion Lymph node metastasis in patients with non-small cell lung cancer is characterized by leaping and multiple. Only radical dissection of mediastinal lymph nodes can be achieved. It is of great clinical significance.