老年胃癌预后分析  

Prognostic analysis of gastric carcinoma patients in elderly

作　　者：彭苗[1] 苏琼菲[1] 丁颖[1] 刘晓清[1] 杨帆[1] 莫凯岚[1] 王希成[1] 

机构地区：[1]广东药学院附属第一医院肿瘤科,广东广州510080

出　　处：《广东药学院学报》2015年第5期679-681,F0003,共4页Academic Journal of Guangdong College of Pharmacy

基　　金：广州市越秀区科技计划项目(2014-WS-033)

摘　　要：目的探讨老年胃癌的预后因素。方法收集2000—2010年本院收治的276例老年胃癌患者的临床资料,进行回顾性的多因素和单因素的预后分析。结果单因素分析中,原发肿瘤大小、有无脉管瘤栓、TMN分期、根治性手术为老年胃癌的预后因素;多因素分析,有无脉管瘤栓、TMN分期、手术为独立预后因素。结论有无脉管瘤栓、TMN分期、根治性手术为老年胃癌的独立预后因素;高龄不是手术的绝对禁忌证,应根据患者具体情况选择恰当的治疗方案。Objective To analyze the prognostic factors of gastric cancer in the elderly. Methods The clinical data of 276 cases on elderly patients with gastric carcinoma from 2000—2010 years were collected for prognosis of single and multiple factor analysis. Results In single factor analysis,tumor size,lymph vascular space involvement,TMN stage and radical surgery were prognosis factors for elderly patients with gastric cancer. In multiple factors analysis,lymph vascular space involvement,TMN stage and radical surgery were independent prognostic factors. Conclusion Lymph vascular space involvement,TMN stage and radical surgery are independent prognostic factors for gastric cancer in the elderly patients. Advanced age is not absolute contraindication of surgery. Appropriate treatment should be chosen according to the specific situation of patients.

关 键 词：老年胃癌 预后分析 脉管瘤栓 分期 根治性手术 

分 类 号：R735.2[医药卫生—肿瘤]