心胸外科?？莆墨I(xiàn) 心胸外科醫(yī)學(xué)論文范文

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1、肺癌縱隔淋巴結(jié)轉(zhuǎn)移與預(yù)后的關(guān)系分析來(lái)源：醫(yī)學(xué)論文發(fā)表——?jiǎng)?chuàng)新醫(yī)學(xué)網(wǎng)http://www.yixue360.com/　　作者：劉泗軍，龍鴻川，闞奇?zhèn)?，石勇作者單位：四川省眉山市人民醫(yī)院胸心外科，四川眉山612100　　【摘要】目的：研究肺癌中不同形式的縱隔淋巴結(jié)轉(zhuǎn)移與預(yù)后之間的關(guān)系。方法：收集術(shù)后病檢證實(shí)伴有縱隔淋巴結(jié)轉(zhuǎn)移的肺癌病例56例，統(tǒng)計(jì)縱隔淋巴結(jié)的具體轉(zhuǎn)移情況并分為：(1)隆突下淋巴結(jié)轉(zhuǎn)移組與非隆突下淋巴結(jié)轉(zhuǎn)移組;(2)跳躍式轉(zhuǎn)移組與非跳躍式轉(zhuǎn)移組;(3)1組淋巴結(jié)轉(zhuǎn)移組、2組淋巴結(jié)轉(zhuǎn)移組及3組淋巴結(jié)轉(zhuǎn)移組。比較各相應(yīng)組的

2、生存情況。結(jié)果：隆突下淋巴結(jié)轉(zhuǎn)移組與非隆突下淋巴結(jié)轉(zhuǎn)移組的生存曲線比較，差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。跳躍式轉(zhuǎn)移組生存情況較非跳躍式轉(zhuǎn)移組差(P<0.05)?？v膈淋巴結(jié)轉(zhuǎn)移組數(shù)越多預(yù)后越差，尤其是伴有3組以上淋巴結(jié)轉(zhuǎn)移的患者預(yù)后更差(P<0.01)。結(jié)論：肺癌縱隔淋巴結(jié)的轉(zhuǎn)移形式與預(yù)后相關(guān)，跳躍式轉(zhuǎn)移及轉(zhuǎn)移組數(shù)多的病例預(yù)后更差。　　【關(guān)鍵詞】肺癌;縱隔淋巴結(jié);轉(zhuǎn)移;預(yù)后　　Relationshipbetweenmediastinallymphnodemetastasisandprognosisoflungcancer　　LI

3、USijun,LONGHongchuan,KANQiwei,SHIYong　　(DepartmentofCardiothoracicSurgery,People′sHospitalinMeishanCity,Meishan612100,China)　　[ABSTRACT]Objective:Toinvestigatetherelationshipbetweendifferentformsofmediastinallymphnodemetastasisandprognosisoflungcancer.Methods：Fift

4、ysixlungcanercases,withmediastinallymphnodemetastasisconfirmedbypostoperativepathologicexamination,wereincluded.Madeacomparisonofsurvivalofcorrespondinggroupsdividedaccordingtotheformsofmediastinallymphnodemetastasis,namelycarinallymphmetastasisgroupandnoncarinallym

5、phmetastasisgroup,skipmetastasisgroupandnonskipmetastasisgroupandthegroupsaccordingtothenumberofmetastasisfrom1to3.Rsults：Comparisonofsurvivalcurves,betweencarinallymphmetastasisgroupandnoncarinallymphmetastasisgroup,showednosignificantdifference(P>0.05).Lifetimeof

6、skipmetastasisgroupwassignificantlylongerthannonskipmetastasisgroup(P<0.05).Themoreregionalmediastinallymphnodemetastasis,theworsetheprognosisoflungcancer,especiallyprognosisofcaseswiththreeregionalmediastinallymphnodemetastasiswastheworst(P<0.01).Conclusions:Formso

7、fmediastinallymphnodemetastasisrelateswithprognosisoflungcancer,prognosisofcaseswithskipmetastasisormoreregionallymphnodemetastasisisworse.　　[KEYWORDS]Lungcancer;Mediastinallymphnode;Metastasis;Proyhosis醫(yī)學(xué)論文發(fā)表——?jiǎng)?chuàng)新醫(yī)學(xué)網(wǎng)http://www.yixue360.com/　　肺癌發(fā)病率逐年呈明顯的增加趨勢(shì)，其預(yù)后差，5年生存

8、率低。肺癌容易發(fā)生縱隔淋巴結(jié)轉(zhuǎn)移[1]，并且伴有縱隔淋巴結(jié)轉(zhuǎn)移的患者預(yù)后更差?？v隔淋巴結(jié)轉(zhuǎn)移亦有不同的情況，為進(jìn)一步研究不同的縱隔淋巴結(jié)轉(zhuǎn)移與預(yù)后之間的關(guān)系，收集并回顧性分析我院和華西醫(yī)院2001年1月～2004年7月間手術(shù)治療且術(shù)后病檢證實(shí)伴有縱隔淋巴結(jié)轉(zhuǎn)移的