残胃癌的预后及相关影响因素分析  

Analysis on prognosis of gastric stump cancer and its influence factors

作　　者：余稳稳[1,2] 陶瑞雨 冯学亮[1,2] 闫开旭 刘宏斌[1] 

机构地区：[1]兰州军区兰州总医院普外科,甘肃兰州730050 [2]兰州大学第二临床医学院,甘肃兰州730000

出　　处：《中国医药导报》2016年第8期9-12,共4页China Medical Herald

基　　金：国家科技部;财政部科技惠民计划项目(2012GS620101)

摘　　要：目的探讨残胃癌患者预后及相关影响因素。方法回顾性分析2000年1月～2010年8月于兰州军区兰州总医院接受手术治疗的53例残胃癌患者的临床及随访资料，统计分析残胃癌患者相关因素对其预后的影响。结果47例残胃癌患者得到随访，1、3、5年生存率分别为51．1％、31．9％、17．0％，总体中位生存期为14个月。单因素及多因素分析均显示，肿瘤分化程度、TNM分期、中性粒细胞与淋巴细胞比值（NLR）及手术方式是影响预后的独立因素（P〈0．05）。结论肿瘤分化程度、TNM分期、NLR水平及手术方式是影响残胃癌患者预后的独立因素，早期诊断及根治性手术治疗是改善其预后的关键。Objective To study the prognosis of gastric stump carcinoma （GSC） and its influence factors. Methods The clinical and follow-up data of 53 patients with GSC undergoing surgical treatment from January 2000 to August 2010 in Lanzhou General Hospital of Lanzhou Military Region were analyzed retrospectively. The results of prognosis and in- fluence factors were statistically analyzed. Results 47 cases of GSC patients were successfully followed up and the overall 1, 3, 5 year survival rates were 51.1%, 31.9% and 17.0% respectively, with the median survival time of 14 months. It was revealed that the differentiation degree, TNM stage, NLR, surgical approach were independent prognostic factors of GSC （P 〈 0.05）, according to both single and multiple factors analysis. Conclusion The differentiation degree, TNM stage, NLR, surgical approach are independent prognostic factors of GSC. Therefore, the early diagnosis and radi- cal resection are the key to prolong survival time in patients with GSC.

关 键 词：残胃癌 统计学方法 预后 生存率 

分 类 号：R735.2[医药卫生—肿瘤]