淋巴结清扫对胃癌大部切除术患者预后的影响  

Prognosis influence factor of lymphadenectomy in patients with subtotal gastrectomy

作　　者：吴杰 李中信[2] 

机构地区：[1]河北省柏乡县人民医院外科,柏乡055450 [2]河北医科大学第四医院外科,石家庄050500

出　　处：《中国肿瘤临床与康复》2015年第7期811-813,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨淋巴结清扫对胃癌大部切除术患者预后的影响。方法选取2004年5月至2009年5月间135例胃癌大部切除术患者,均行淋巴结清扫术,观察患者术后5年生存率。结果单因素分析显示,淋巴结清扫数目、淋巴结情况、病理类型、浸润深度、肿瘤大小与患者预后有关(P<0.05),而患者的性别、年龄、肿瘤部位与患者预后无关(P>0.05)。多因素分析显示,影响胃癌大部切除术患者预后的影响因素包括浸润深度和淋巴结清扫情况、淋巴结清扫总数(P<0.05)。结论淋巴结清扫彻底有助于胃癌大部切除术患者预后,延长生存时间。Objective To investigate the prognosis influence factor of lymphadenectomy in patients with subtotal gastrectomy, in order to improve the clinical efficacy. Methods From May 2004 to May 2009 in the people＇s hospital of Boxiang county, 135 cases with subtotal gastrectomy who were given lymphade- nectomy were enrolled in the study. The 5-yr survival rate were observed. Results In the univariate analy- sis, the influence factors were lymph node dissection number, lymph nodes, pathological type, invasion depth and tumor size （ P 〈 0. 05 ）. Sex, age and tumor location had no significant differences （ P 〉 O. 05 ）. In the multivariate analysis, the invasion depth, lymphadenectomy case and lymph node dissection total number were influence factors on lymphadenectomy for subtotal gastrectomy prognosis （ P 〈 0. 05 ）. Conclu- sion The lymphadenectomy were conducive to the prognosis of subtotal gastrectomy patients and prolong the survival time.

关 键 词：淋巴结清扫 胃癌大部切除术 预后 影响性 

分 类 号：R735.2[医药卫生—肿瘤]