中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2015年
10期
1088-1090
,共3页
胃肿瘤%肿瘤转移%淋巴结%临床病理%预后
胃腫瘤%腫瘤轉移%淋巴結%臨床病理%預後
위종류%종류전이%림파결%림상병리%예후
Gastric neoplasms%Tumor metastasis%lymph node%Clinical pathology%Prognosis
目的 探讨淋巴结转移率与老年胃癌患者临床病理特征的联系及与老年胃癌患者预后之间的关系. 方法 回顾性分析我院219例年龄≥60岁老年患者首次胃癌术后的病理资料,分析胃癌患者性别、分化程度、肿瘤浸润深度、是否血管浸润、是否神经侵犯与淋巴结转移率之间的关系,Kaplan-Meier生存分析和Cox回归分析淋巴结转移率与老年胃癌预后的关系. 结果 胃癌患者分化程度高者淋巴结转移率低、肿瘤浸润程度深者淋巴结转移率高、有血管浸润者淋巴结转移率高、神经侵犯者淋巴结转移率高,女性淋巴结转移率高于男性(均P＜0.05),Kaplan-Meier生存分析和Cox回归模型分析发现淋巴结转移率是影响老年胃癌术后生存率的独立因素. 结论 淋巴结转移率可用于指导老年胃癌患者的临床预后判断.
目的 探討淋巴結轉移率與老年胃癌患者臨床病理特徵的聯繫及與老年胃癌患者預後之間的關繫. 方法 迴顧性分析我院219例年齡≥60歲老年患者首次胃癌術後的病理資料,分析胃癌患者性彆、分化程度、腫瘤浸潤深度、是否血管浸潤、是否神經侵犯與淋巴結轉移率之間的關繫,Kaplan-Meier生存分析和Cox迴歸分析淋巴結轉移率與老年胃癌預後的關繫. 結果 胃癌患者分化程度高者淋巴結轉移率低、腫瘤浸潤程度深者淋巴結轉移率高、有血管浸潤者淋巴結轉移率高、神經侵犯者淋巴結轉移率高,女性淋巴結轉移率高于男性(均P＜0.05),Kaplan-Meier生存分析和Cox迴歸模型分析髮現淋巴結轉移率是影響老年胃癌術後生存率的獨立因素. 結論 淋巴結轉移率可用于指導老年胃癌患者的臨床預後判斷.
목적 탐토림파결전이솔여노년위암환자림상병리특정적련계급여노년위암환자예후지간적관계. 방법 회고성분석아원219례년령≥60세노년환자수차위암술후적병리자료,분석위암환자성별、분화정도、종류침윤심도、시부혈관침윤、시부신경침범여림파결전이솔지간적관계,Kaplan-Meier생존분석화Cox회귀분석림파결전이솔여노년위암예후적관계. 결과 위암환자분화정도고자림파결전이솔저、종류침윤정도심자림파결전이솔고、유혈관침윤자림파결전이솔고、신경침범자림파결전이솔고,녀성림파결전이솔고우남성(균P＜0.05),Kaplan-Meier생존분석화Cox회귀모형분석발현림파결전이솔시영향노년위암술후생존솔적독립인소. 결론 림파결전이솔가용우지도노년위암환자적림상예후판단.
Objective To study the association between metastatic ratio of lymph node and clinical pathological features and its prognosis in elderly patients with gastric cancer.Methods The first postoperative pathological data of 219 patients with gastric cancer aged ≥ 60 years were retrospectively analyzed.The relationships of metastatic ratio of lymph node with gender,differentiation degree,depth of tumor invasion,vascular invasion,perineural invasion were analyzed.We used Kaplan-Meier survival analysis and Cox regression model to analyze this relationship.Results The metastasis rate of lymph node was higher in gastric cancer patients with higher degree of differentiation,deeper tumor-infiltration,vascular invasion or neural invasion,and the metastasis rate of lymph node was increased in females than in males (all P＜0.05).Kaplan-Meier survival analysis and Cox regression model analysis suggested that the metastasis rate of lymph node was an independent factor for postoperative survival rate in the elderly with gastric cancer.Conclusions The metastatic ratio of lymph node could be used to estimate the clinical prognosis of elderly gastric cancer.
