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全阻断胃窦癌根治术预防癌转移

2012-11-16 Jane摘编 中国实用外科杂志

  复旦大学附属华山医院普外科的一项研究表明,全阻断胃窦癌根治术可以有效地阻断术中癌细胞血行和淋巴转移。该论文发表在2012年第10期《中国实用外科杂志》。     该研究选取2008 年7 月至2010 年9 月收治的76例胃窦癌病人,随机分为两组,分别施行全阻断胃窦癌根治术(阻断组)和传统胃癌根治术(常规组),进腹后及术中分别抽取门静脉血和腹腔灌洗液,

  复旦大学附属华山医院普外科的一项研究表明,全阻断胃窦癌根治术可以有效地阻断术中癌细胞血行和淋巴转移。该论文发表在2012年第10期《中国实用外科杂志》。  

  该研究选取2008 年7 月至2010 年9 月收治的76例胃窦癌病人,随机分为两组,分别施行全阻断胃窦癌根治术(阻断组)和传统胃癌根治术(常规组),进腹后及术中分别抽取门静脉血和腹腔灌洗液,RT-PCR测定样本中CEA mRNA和CK20 mRNA的表达情况;阻断组胃壁注射纳米炭后观察阻断区内外淋巴结有无黑染。

  结果显示,进腹后,阻断组门静脉血CEA mRNA和CK20 mRNA阳性率分别为10%和15%,常规组为8.3%和11.1%,两组差异无统计学意义;术中牵拉胃癌病灶时,阻断组门静脉血CEA mRNA和CK20 mRNA的阳性率分别为7.5%和15%,常规组为30.5%和36%,两组差异具有统计学意义(P<0.05);腹腔灌洗液CEA mRNA和CK20 mRNA的表达率差异无统计学意义。阻断区内淋巴结明显黑染,而阻断区外无淋巴结黑染。



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    2012-11-18 jeanqiuqiu
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    2012-11-18 jeanqiuqiu
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