左右半结肠癌临床病理特点差异分析

)Abstract] ObjectiveTc investigate the difference of cCnicopathological characteristics between left and right colon cancee. Method Retrospective analysis were performed in 292 patients with left oe right colon cancer from 2012 te 2017，of whom 142 cases of lett colon cancer were divided into LCC group and 150 cases of right cclon cancer into RCC group. Statistical analysis wae carried out by using spssl7 software. The clinicopatholooical characteristics were expressed as (! ± s ) and were examined by independent i test. The basic clinical features were examined by chi square test. A $ value of <0. 05 was considered as statisticaay sicnificant. Results The proportion of patients over 65 years old was higher in RCC group. Patients in LCC group was more likely te undereo emergency sureery than patients in RCC group ( 14. 8% vs. 7. 3% $ = 0. 042) . There were significant differences in T4 staging，number of positive lymph nodes，total numbeo of harvested lymph nodes，and lymph node metastasis rate between the two groups respectively ( $ < 0. 05 ). In RCC group，the numbeo of lymph node metastases ( positive lymph nodes) was significantly higher than that in LCC patients ($ = 0. 034 ). The total numbeo of harvested lymph nodes in RCC group of (21.8 ±8.9) was also significantly higher than ( 16. 4 ± 6. 8 ) in LCC group ( $ < 0. 01) . Conclusions The lett and right colon cancer are different kinds of tumor diseases. The clinicopatholocicai characteristics of them are significantly different. Patients with right cclon cancer are more likely to have regional lymph nodemeiasiascs.
中华普外科手术学杂志(电子版)2019 年 10 月 第 13 卷第 5 期 Chin J Qper Proc Gen Su/(Elec9nic Edition), October 2019, Vol. 13, No. 5
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-论著•
左右半结肠癌临床病理特点差异分析
朱信强 黄海龙 蒋学通温林春
!关键词】 结肠肿瘤；病理学，临床；对比研究
Clinical analysis of the clinicopathological characteristics of left and right colon cancer Zhu Xinqiang，Huang Hailong，Jiang Xuetong，Wen Linchun. Department 0 General Surgery，The Affiliated Suqian Hospital of Xuzhou Medical University，Jiangsu 223800，China Funding: Guiding $rojecC f Suqian City ( No. Z201711) Correspooding autos( Wun Linchun，Email(12】目的 探讨左右半结肠癌临床病理特点的差异。方法 回顾性分析2012年至2017年 间收治的左右半结肠癌患者292例资料，以横结肠中段为分界，分为左半结肠癌142例（LCC组），右 半结肠癌150例（RCC组）%采用spssl7软件进行统计处理,临床病理特征数据用（！ ±"表示，独立 样本t检验;临床基本特征采用卡方检验，P<0.05为差异有统计学意义％结果 RCC组中大于65 岁的患者比例较高％ LCC组患者比RCC组患者更容易接受急诊手术（14.8%比7.3% $=0.042）。 左右半结肠癌患者中在肿瘤T4分期、阳性淋巴结数目、清扫淋巴结总数差异均存在统计学意义 （$ <0. 05） :RCC组中淋巴结转移（阳性淋巴结）的数量明显高于LCC患者（$ =0. 034）。淋巴结清扫 的总数在RCC组（21.8±8.9）枚也显著多于LCC组（16.4±6.8）枚，（$<0.01）。结论左右半结肠 癌是两种不同实体疾病，两者临床病理特点具有显著差异，右半结肠癌患者更倾向于区域内淋巴结的 转移％