论文部分内容阅读
目的探讨胃癌患者手术后预后情况及影响因素。方法胃癌患者76例,均行手术治疗,72例患者为胃癌根治术,4例患者为姑息性手术。分析本组患者性别、胃癌肿瘤所在部位、肿瘤大小、肿瘤分化程度、TNM分期对患者手术后3年生存率的影响。结果 1性别:男性和女性患者3年生存率比较,差异无统计学意义(P>0.05)。2肿瘤所在部位:胃体部肿瘤3年生存率高于其他部位,差异有统计学意义(P<0.05)。3肿瘤大小:肿瘤<5 cm患者的3年生存率高于肿瘤>5 cm患者,差异有统计学意义(P<0.05)。4肿瘤分化程度:中高分化患者的3年生存率高于低分化患者,差异有统计学意义(P<0.05)。5 TNM分期:Ⅰ期和Ⅱ期患者3年生存率高于Ⅲ期和Ⅳ期患者,差异有统计学意义(P<0.05)。结论肿瘤所在部位、肿瘤大小、肿瘤分化程度、TNM分期与胃癌术后患者的生存时间有关,值得临床借鉴。
Objective To investigate the postoperative prognosis and influencing factors of gastric cancer patients. Methods 76 cases of gastric cancer patients were undergone surgical treatment, 72 patients were radical gastrectomy, 4 patients were palliative surgery. Analysis of the patient’s gender, gastric cancer site, tumor size, tumor differentiation, TNM staging on the 3-year survival rate of patients after surgery. Results 1 Sex: Male and female patients with 3-year survival rates, the difference was not statistically significant (P> 0.05). 2 tumor location: Gastric tumor 3-year survival rate was higher than other parts, the difference was statistically significant (P <0.05). 3 Tumor size: The 3-year survival rate of patients with tumors <5 cm was significantly higher than that of tumors> 5 cm (P <0.05). 4 tumor differentiation: moderately-differentiated patients with 3-year survival rate was higher than poorly differentiated patients, the difference was statistically significant (P <0.05). 5 TNM Staging: The 3-year survival rates of stage I and stage II patients were significantly higher than those of stage III and IV tumors (P <0.05). Conclusion The tumor location, tumor size, tumor differentiation, TNM stage and survival time of patients with gastric cancer are worthy of clinical reference.