160 例胃癌根治术后预后分析*

A Retrospective Analysis of Prognostic Factors for 160 Gastric Cancer Patients Who Underwent Radical Resection

  • 摘要: 目的:探讨胃癌根治术后影响患者长期生存的预后因素。方法:回顾性分析天津医科大学附属肿瘤医院2001年1 月至2002年12月收治并行胃癌根治术的患者,将数据输入SPSS13.0 统计软件,通过比较1、3、5 年生存率分析各项可能影响胃癌预后的因素。结果:全组病例1、3、5 年生存率分别为72.50% 、52.50% 、45.00% 。单因素分析显示,年龄、手术方式、肿瘤最大径、Borrmann 分型、联合脏器切除、肿瘤侵犯深度、淋巴结转移度以及临床分期与术后远期生存有关(P<0.05)。 而多因素分析显示,仅患者年龄、手术方式、肿瘤侵犯深度以及临床分期是胃癌根治术后患者预后的独立因素(P<0.05)。 结论:患者年龄、手术方式、肿瘤侵犯深度以及临床分期是影响胃癌根治术后患者预后的重要因素。

     

    Abstract: Objective:To investigate the prognostic factors related to long-term survival of gastric cancer patients who underwent radical gastrectomy.Methods:We retrospectively analyzed the data of gastric cancer patients who underwent radical resection in our hospital between January 2001and December 2002. The 1-, 3-, and 5-year survival rates were as -sessed. SPSS 13.0 software was employed for statistical analysis. Resulst: The 1-, 3-, and 5-year survival rates were 72.50% ,52.50% , and42.00% , respectively. Univariate analysis showed that age, surgical method, tumor diameter, Bor-rmann type, resection of other organs, tumor invasion, extent of lymph-metastasis and clinical stage were correlated with postoperative survival (P<0.05). But multivariate analysis revealed that only age, surgical method, tumor invasion and clinic stage were independent prognostic factors for gastric cancer (P<0.05). Conclusion:Age, surgical method, tumor invasion and clinical. stage are the most important prognostic factors for gastric cancer.

     

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