CAJ | 학술논문

目的：探讨影响胃癌根治性手术患者预后的因素。方法收集我院2009年1月-2013年1月间100例胃癌根治术患者临床资料，通过其病理及随访结果，分析年龄、性别、肿瘤部位、大小、病理类型、手术方式及术后放化疗情况等对胃癌预后的影响。结果100例胃癌根治术患者中，手术切缘阳性患者生存率25%，手术切缘阴性生存率45%，有远处转移患者生存率20%，无远处转移生存率43%，术后规律放化疗患者生存率50%，不规律放化疗患者生存率30%。结论本研究显示，肿瘤病理类型及分期、手术方式，手术切缘阳性率，远处转移与否及术后放化疗情况以及患者心态是影响患者预后的重要因素，应引起临床足够重视。
목적：탐토영향위암근치성수술환자예후적인소。방법수집아원2009년1월-2013년1월간100례위암근치술환자림상자료，통과기병리급수방결과，분석년령、성별、종류부위、대소、병리류형、수술방식급술후방화료정황등대위암예후적영향。결과100례위암근치술환자중，수술절연양성환자생존솔25%，수술절연음성생존솔45%，유원처전이환자생존솔20%，무원처전이생존솔43%，술후규률방화료환자생존솔50%，불규률방화료환자생존솔30%。결론본연구현시，종류병리류형급분기、수술방식，수술절연양성솔，원처전이여부급술후방화료정황이급환자심태시영향환자예후적중요인소，응인기림상족구중시。
Objective to explore the factors affecting the prognosis of patients with gastric cancer radical surgery.Method to colect data between January 2009 - January 2009 clinical data of 150 patients with gastric cancer radical, through its pathology and folow-up results, analysis of the age, sex, tumor location, size, pathological type, operation method and radiation and chemotherapy folowing surgery and its influence on prognosis of gastric cancer.Results of 150 cases of patients with gastric cancer radical, surgery cut edge positive patients survival rate was 25%, operation cut edge negative survival rate was 45%, with metastases patients survival rate was 20%, no distant metastasis survival rate was 43%, the law of radiation and chemotherapy patients postoperative survival rate was 50%, irregular radiation and chemotherapy patients' survival rate was 30%.Conclusion of this study showed that tumor pathological type and stage, operation mode, operation cut edge positive rate, distant metastasis and patients with radiation and chemotherapy folowing surgery and mentality are the important factors influencing the prognosis of patients, which should be paid attention during clinical enough.