临床荟萃
臨床薈萃
림상회췌
Clinical Focus
2015年
12期
1397-1401
,共5页
胃肿瘤%胃切除术%预后
胃腫瘤%胃切除術%預後
위종류%위절제술%예후
stomach neoplasms%gastrectomy%prognosis
目的：探讨与胃癌根治术后患者预后相关的因素。方法回顾性分析579例行胃癌根治术患者的临床资料，对性别、年龄、手术方式、瘤体部位、瘤体最大径等因素进行分析，研究影响预后的相关因素。结果579例患者总的1、3、5年生存率分别为87.7%、67.01%、56.3%。单因素分析显示，年龄、手术方式、肿瘤部位、肿瘤大小、病理分化程度、浸润深度、淋巴洁转移、TNM 分期、神经侵犯、脉管内癌栓、术前白蛋白是影响胃癌根治术后患者预后的相关因素(P <0.05)，多因素分析显示，瘤体最大径、浸润深度、淋巴结转移是影响预后的独立因素(P <0.001)。结论瘤体最大径、浸润深度、淋巴结转移是影响胃癌根治术后预后的重要因素，对临床判断患者预后及个体化治疗具有重要意义。
目的：探討與胃癌根治術後患者預後相關的因素。方法迴顧性分析579例行胃癌根治術患者的臨床資料，對性彆、年齡、手術方式、瘤體部位、瘤體最大徑等因素進行分析，研究影響預後的相關因素。結果579例患者總的1、3、5年生存率分彆為87.7%、67.01%、56.3%。單因素分析顯示，年齡、手術方式、腫瘤部位、腫瘤大小、病理分化程度、浸潤深度、淋巴潔轉移、TNM 分期、神經侵犯、脈管內癌栓、術前白蛋白是影響胃癌根治術後患者預後的相關因素(P <0.05)，多因素分析顯示，瘤體最大徑、浸潤深度、淋巴結轉移是影響預後的獨立因素(P <0.001)。結論瘤體最大徑、浸潤深度、淋巴結轉移是影響胃癌根治術後預後的重要因素，對臨床判斷患者預後及箇體化治療具有重要意義。
목적：탐토여위암근치술후환자예후상관적인소。방법회고성분석579례행위암근치술환자적림상자료，대성별、년령、수술방식、류체부위、류체최대경등인소진행분석，연구영향예후적상관인소。결과579례환자총적1、3、5년생존솔분별위87.7%、67.01%、56.3%。단인소분석현시，년령、수술방식、종류부위、종류대소、병리분화정도、침윤심도、림파길전이、TNM 분기、신경침범、맥관내암전、술전백단백시영향위암근치술후환자예후적상관인소(P <0.05)，다인소분석현시，류체최대경、침윤심도、림파결전이시영향예후적독립인소(P <0.001)。결론류체최대경、침윤심도、림파결전이시영향위암근치술후예후적중요인소，대림상판단환자예후급개체화치료구유중요의의。
ABSTRACT:Objective To explore the prognostic factors for gastric cancer after radical resection.Methods A retrospective clinical analysis was made in 579 cases of gastric cancer,all the patients were treated by radical resection. Gender,age,operation method,tumor size and other factors were analyzed for the prognostic factors.Results For all cases,the 1-,3-,and 5-year survival rate were 87.7%,67.0% and 56.3%,respectively.Single factor analysis showed that age,operation method,tumor site,tumor size,histological type,invasion depth,lymph node metastasis, TNM stage,nerve invasion,vascular tumor emboli and preoperative albumin were related to survival rate.And multiple factors analysis showed that the tumor size,infiltration depth and lymph node metastasis were independent prognostic factors.Conclusion Tumor size,infiltration depth and lymph node metastasis were important prognostic factors for gastric cancer patients after radical resection,and have great significance for judgment of prognosis and individualized treatment in clinic.
