残胃癌47例临床分析  

Clinical analysis of gastric stump cancer 47 cases

作　　者：吕厚君[1] 吴向坤[1] 周学伟[1] 

机构地区：[1]南阳市第二人民医院胃肠外科,河南南阳473000

出　　处：《医药论坛杂志》2011年第22期83-85,共3页Journal of Medical Forum

摘　　要：目的探讨残胃癌的临床病理特点和预后。方法回顾性分析47例随访资料完整的残胃癌的临床病理资料;Log rank检验比较根治术组与姑息切除术组的术后生存率;应用Cox比例风险模型对各影响预后的因素进行回归分析。结果手术切除率为95.7%(45/47),根治切除率64.4%(29/45)。根治术组与姑息切除术组的术后1、3、5年生存率分别为(89.6%VS 31.2%)、(58.6%VS 0)、(24.1%VS 0),两组术后生存率的差异有统计学意义(P<0.05)。手术方式、临床分期、组织学分化、肝转移情况是残胃癌患者预后的独立影响因素。结论根治性手术可提高残胃癌患者的生存率;根治性手术、临床分期为Ⅰ期、Ⅱ期,高分化、无肝转移的患者预后较好。Objective To investigate the clinicopathological characteristics and prognosis of gastric stump cancer（GSC）.Methods A retrospective analysis of clinical and pathological data of 47 cases of GSC with complete follow-up data;Log rank test comparing the survival rate between radical mastectomy group and the palliative resection group;Regression analysis of prognostic factors with theCox proportional hazards model.Results The surgical resection rate was 95.7%（45/47）,radical resection rate of 64.4%（29/45）.The 1-,3-,and 5-year survival rates were significantly higher in radical resection group than palliative resection group（89.6% VS 31.2%）,（58.6% VS 0）,（24.1% VS 0）.Surgical,clinical stage,histological,liver metastasis is independent prognostic factor.Conclusions Radical surgery can improve survival in patients with GSC;Radical surgery,stage Ⅰ,stage Ⅱ,well differentiated and without liver metastasis of patients have better prognosis.

关 键 词：残胃癌 病理 分析 

分 类 号：R735.2[医药卫生—肿瘤]