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目的:探讨胃癌淋巴结包膜周侵犯与预后的关系。方法:选取2010年3月至2016年3月于乐昌市第二人民医院就诊收治并确诊为胃癌的患者中随机抽出50例淋巴结包膜周侵犯患者为观察组,抽取30例未发生淋巴结包膜周侵犯的患者作为对照组,获取足够数量的胃癌切除时转移的淋巴结,分析胃癌淋巴结包膜周侵犯与预后的关系。结果:观察组患者术后平均生存时间(34.73±2.45)月,对照组患者术后平均生存时间(55.13±2.58)月,差异具有统计学意义(P<0.05)。而观察组患者与对照组患者相比,肿瘤的分期越高,预后的生存时间越短,差异具有统计学意义(P<0.05)。结论:胃癌淋巴结包膜周侵犯呈现阳性的患者,其肿瘤的分期更高,远处转移的发生率也更高,预后效果更差,复发率更高。
Objective: To investigate the relationship between gastric cancer lymph node encasement and prognosis. Methods: From March 2010 to March 2016 in Lechang Second People’s Hospital for treatment of patients diagnosed with gastric cancer were randomly selected 50 cases of lymph node encircling encroachment patients as the observation group, the extraction of 30 cases did not occur lymph node package Patients who were infiltrated with membrane were taken as control group to get a sufficient number of lymph nodes metastasized in resection of gastric cancer and to analyze the relationship between invasion and prognosis of lymph nodes in gastric cancer. Results: The average postoperative survival time (34.73 ± 2.45) months in the observation group and the mean postoperative survival time (55.13 ± 2.58) months in the control group were statistically significant (P <0.05). The observation group and control group patients, the higher the stage of the tumor, the shorter the survival time of prognosis, the difference was statistically significant (P <0.05). CONCLUSIONS: Patients with positive gastric cancer with lymph node encapsu- lation showed higher tumor stage, higher incidence of distant metastasis, poorer prognosis and higher relapse rate.