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目的 分析进展期胃癌胃周淋巴结转移及淋巴结清除与病人预后的关系。方法 对 1982～ 1992年间收治并行手术治疗的进展期胃癌 2 99例进行统计分析。结果 肿瘤进展与淋巴结转移的程度显著相关 (P <0 0 5 )。淋巴结转移有无、淋巴结清扫与术后生存直接相关 ,对于侵及浆膜下或侵出浆膜并伴有远处淋巴结转移的病例 ,淋巴结清扫仍能提高术后生存率 (P <0 0 5 )。结论 严格的淋巴结清扫可以提高胃癌病人术后生存率
Objective To analyze the relationship between gastric lymph node metastasis and lymph node clearance in patients with advanced gastric cancer and the prognosis of patients. Methods Two hundred and ninety-nine patients with advanced gastric cancer undergoing concurrent surgery between 1982 and 1992 were analyzed statistically. Results There was a significant correlation between tumor progression and lymph node metastasis (P <0.05). Lymph node metastasis, lymph node dissection and postoperative survival is directly related to invasion of subserosa or invasion of serosa and distant lymph node metastasis cases, lymph node dissection can still improve postoperative survival (P <0 05 ). Conclusion Strict lymph node dissection can improve the survival rate of gastric cancer patients