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本文回顾性分析43例施子宫广泛性切除及盆腔淋巴结清除术的子宫颈癌患者的临床资料,统计其盆腔淋巴结清除数及阳性数。结果:43例中8例有淋巴结转移,转移率18.6%。43例共清除淋巴结576个,平均13.4个。阳性淋巴结21个(3.65%),其中右侧308个,阳性8个(2.60%),左侧268个,阳性13个(4.85%)。鳞癌29例,淋巴结转移3例(10.34%),腺癌14例,淋巴结转移5例(35.71%)。阳性淋巴结最小直径2mm,最大31mm。鳞癌淋巴结转移左侧居多,而腺癌左右侧相似。临床期别越晚,淋巴结转移越多。提示:临床与病理对盆腔淋巴结的检出率受多种因素综合影响,而盆腔淋巴结转移与组织类型、临床期别及淋巴结解剖部位等有关。
This article retrospectively analyzed the clinical data of 43 cases of cervical cancer patients undergoing uterine dissection and pelvic lymphadenectomy, and counted the number and positive numbers of pelvic lymph nodes. Results: Among 43 cases, 8 cases had lymph node metastasis and the metastasis rate was 18.6%. A total of 576 lymph nodes were removed in 43 cases, averaging 13.4. There were 21 positive lymph nodes (3.65%), of which 308 were right, 8 positive (2.60%), 268 left, and 13 positive (4.85%). There were 29 cases of squamous cell carcinoma, 3 cases of lymph node metastasis (10.34%), 14 cases of adenocarcinoma and 5 cases of lymph node metastasis (35.71%). The minimum diameter of positive lymph nodes 2mm, maximum 31mm. The majority of squamous cell carcinoma lymph node metastasis on the left side, while the side of adenocarcinoma is similar. The later the clinical stage, the more lymph node metastasis. Tip: Clinical and pathological detection of pelvic lymph nodes by a combination of various factors, and pelvic lymph node metastasis and tissue type, clinical stage and lymph node anatomy and so on.