胃癌淋巴结转移规律的临床研究%28附12633例临床分析%29

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1、授予单位代码10089学号或申请号20153500中国图书分类号R735.2HebeiMedicalUniversity硕士学位论文专业学位胃癌淋巴结转移规律的临床研究（附12633例临床分析）研究生：王志勇导师：李勇教授赵雪峰副教授专业：外科学二级学院：第四医院2018年3月目录中文摘要·················································································1英文摘要······························································

2、···················3研究论文胃癌淋巴结转移规律的临床研究（附12633例临床分析）前言·················································································6材料与方法········································································7结果··············································································

3、·11附图···············································································29附表···············································································38讨论···············································································48结论·······································

4、········································53参考文献·········································································54综述影响胃癌预后相关因素的研究···········································58致谢·····················································································67个人简历···················

5、····························································68中文摘要胃癌淋巴结转移规律的临床研究（附12633例临床分析）摘要目的：探讨总结胃癌淋巴结转移的规律，为开展规范手术提供依据。方法：收集1958年4月至2015年8月符合标准的12633例胃癌患者的临床资料，观察淋巴结转移情况。应用SPSS21.0软件进行统计分析。结果：1.总淋巴结转移率为58.14%，早期为12.72%，进展期为63.41%。2.各组淋巴结转移率2.1总体胃癌及进展期胃癌转移率最高为No.7，其次为No.3、1、6、4、2、8、5、9、1

6、1、12、16、10、14、13、15。2.2早期胃癌转移率最高为No.3，其次为No.6、7、4、1、8、5、2、9、11、12、10、14、16。3.不同胃癌分期各临床指标的淋巴结转移情况3.1总体胃癌淋巴结转移率在性别、肿瘤发生部位、肿瘤大小、组织学分型、浸润深度、TNM分期中有显著差异。3.2早期胃癌淋巴结转移率在性别、肿瘤发生部位、肿瘤大小、组织学分型、浸润深度中有显著差异。3.3进展期胃癌淋巴结转移率在性别、肿瘤发生部位、肿瘤大小、Borrmann分型、组织学分型、浸润深度、TNM分期中有显著差异。4.不同肿瘤发生部位的各组淋巴结转移率4.1胃上部癌组：总体胃癌及进展

7、期胃癌最高为No.7，其次为No.1、3、2、4、8、16、9、11、5、6、10、12、14、15、13；早期胃癌最高为No.7，其次为No.3、1、2、6、4、8、11。4.2胃中部癌组：总体胃癌最高为No.3，其次为No.7、1、4、6、2、5、8、9、11、12、10、16、13、14、15；早期胃癌最高为No.3，其次为No.7、1、4、5、2、6、8、11、9、10、14；进展期胃癌最高为No.3，其次为No.7、1、4、6、2、8、5、9、11、12、10、16、1