中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
2期
359-360
,共2页
进展期胃癌%淋巴结转移%影响因素
進展期胃癌%淋巴結轉移%影響因素
진전기위암%림파결전이%영향인소
Advanced gastric cancer%Lymph node metastasis%Influencing factors
目的：探讨进展期胃癌的淋巴结转移的相关影响因素。方法：回顾性分析我院自2009年1月~2013年1月间收治的76例进展期胃癌患者临床资料，对患者的淋巴结阳性率和手术清扫的总淋巴结阳性率与临床病理之间的关系进行单因素和多因素分析。结果：76例进展期胃癌患者，淋巴结阳性患者转移率为59.61%(45/76)，其中共检出淋巴结869枚，淋巴结的阳性检出率为58.92%(512/869)，单因素分析显示淋巴结阳性患者与分化程度、肿瘤的大小、浸润深度、TNM分期和大体分型有关，差异具有统计学意义(P<0.05)。多因素非条件Logistic回归分析显示分化程度、浸润深度、TNM分期是进展期胃癌淋巴结转移的独立危险因素。结论：进展期胃癌的淋巴结转移率较高，分化程度、浸润深度、TNM分期是进展期胃癌淋巴结转移的独立危险因素。
目的：探討進展期胃癌的淋巴結轉移的相關影響因素。方法：迴顧性分析我院自2009年1月~2013年1月間收治的76例進展期胃癌患者臨床資料，對患者的淋巴結暘性率和手術清掃的總淋巴結暘性率與臨床病理之間的關繫進行單因素和多因素分析。結果：76例進展期胃癌患者，淋巴結暘性患者轉移率為59.61%(45/76)，其中共檢齣淋巴結869枚，淋巴結的暘性檢齣率為58.92%(512/869)，單因素分析顯示淋巴結暘性患者與分化程度、腫瘤的大小、浸潤深度、TNM分期和大體分型有關，差異具有統計學意義(P<0.05)。多因素非條件Logistic迴歸分析顯示分化程度、浸潤深度、TNM分期是進展期胃癌淋巴結轉移的獨立危險因素。結論：進展期胃癌的淋巴結轉移率較高，分化程度、浸潤深度、TNM分期是進展期胃癌淋巴結轉移的獨立危險因素。
목적：탐토진전기위암적림파결전이적상관영향인소。방법：회고성분석아원자2009년1월~2013년1월간수치적76례진전기위암환자림상자료，대환자적림파결양성솔화수술청소적총림파결양성솔여림상병리지간적관계진행단인소화다인소분석。결과：76례진전기위암환자，림파결양성환자전이솔위59.61%(45/76)，기중공검출림파결869매，림파결적양성검출솔위58.92%(512/869)，단인소분석현시림파결양성환자여분화정도、종류적대소、침윤심도、TNM분기화대체분형유관，차이구유통계학의의(P<0.05)。다인소비조건Logistic회귀분석현시분화정도、침윤심도、TNM분기시진전기위암림파결전이적독립위험인소。결론：진전기위암적림파결전이솔교고，분화정도、침윤심도、TNM분기시진전기위암림파결전이적독립위험인소。
Objective:To expore the related factors analysis on lymph node metastasis of advanced gastric cancer.Methods:76 patients with advanced gastric cancer were retrospective analyzed from January 2011 to January 2013,the relationship between lymph node positive rate of the patients with surgery,cleaning of the total lymph node positive rate and clinical pathological had a analysis for single factor and multiple factors.Results:76 cases of patients with advanced gastric cancer,the patients with positive lymph node metastasis rate was 59.61% (45/76),among them 869 lymph nodes were detected,lymph node positive detection rate was 58.92% (512/869),the single factor analysis showed that both were related to degree of differentiation,tumor size, invasion depth,TNM staging and the general classification.The difference was statistically significant (P<0.05).Multi-factor unconditioned Logistic regression analysis revealed that differentiation degree,infiltration depth,TNM staging is independent risk factors for lymph node metastasis of advanced gastric cancer. Conclusion:lymph node metastasis rate of advanced gastric cancer is higher,differentiation degree,infiltration depth,TNM staging is independent risk factors for lymph node metastasis of advanced gastric cancer.
