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目的 :探讨贲门癌切除长度和淋巴结清扫的范围。方法 :对 39例贲门癌切除术中与固定后长度进行测量 ,对 60例术后标本进行病理学检查 ,分析了贲门癌切除范围与其病理改变和淋巴结转移的部位。结果 :贲门癌的浸润长度与肿瘤的分化程度、生长方式有显著性差异 ( P<0 .0 5 ) ,而与肿瘤的巨检类型、组织学类型、浸润深度、炎细胞反应、间质细胞反应和瘤体长径无显著性差异。结论 :确定了手术切除贲门癌的长度和淋巴结清除的最佳范围。
Objective : To investigate the length of resection and lymph node dissection of cardiac cancer. Methods : 39 cases of cardiac cancer resection and postoperative fixation length were measured and 60 cases of postoperative specimens were examined by pathology. The resection range of cardiac cancer and its pathological changes and lymph node metastasis were analyzed. RESULTS: There was a significant difference in the length of tumor infiltration between the cardiac cancer and the differentiation and growth pattern of the tumor (P < 0.05). However, the type of tumor invasion, histological type, depth of invasion, inflammatory cell response, interstitial cells There was no significant difference between the response and the length of the tumor. Conclusions: The optimal range of length and lymph node clearance for surgical resection of cardiac cancer was determined.