食管癌术后生存五年以上患者复发转移的相关因素分析  

Analysis of Relative Factors on Tumor Reocurrance or Matastasis for Over Five Years Survival Patients after Esophageal Carcinoma Resection

作　　者：赵海龙 薛继军[1] 郑凤长[1] 朱小康[1] 熊海科 袁继宝 朱自江[1] 

机构地区：[1]甘肃省医学科学院甘肃省肿瘤医院胸外二科,兰州730050 [2]甘肃省中医学院胸外科,兰州730000

出　　处：《中国胸心血管外科临床杂志》2016年第6期546-549,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：甘肃省杰出青年基金资助(1308RJDA009)~~

摘　　要：目的探讨食管癌术后生存期超过五年以上患者发生复发转移的相关因素。方法对1997年10月至2002年10月在本院接受食管癌切除治疗出院患者进行追踪随访,将其中在术后有完整随访资料、生存期超过五年的181例病例进行分析,其中男148例、女33例,患者年龄63.9（60~70）岁。总结患者随访资料,对可能导致患者复发的相关资料进行单因素分析。结果单因素分析结果表明,肿瘤复发转移与分化程度、病理分期、有无淋巴结转移以及淋巴结转移数有关（P〈0.05）,而性别、年龄、肿瘤长度、肿瘤生长部位等其它临床病理因素与复发转移无关（P〉0.05）。结论食管癌术后影响患者五年生存率的主要因素是手术时的p TNM分期、有无淋巴结转移和淋巴结转移的数量。Objective To investigate the relative factors on tumor reocurrance or matastasis for over five years survival patients after esophageal carcinoma resection. Method We followed up the patients underwent esophageal carcinoma resection in our hospital and discharged between October 1997 and October 2002. We analyzed the clinical data of 181 over five years survival patients with complete follow-up data. There were 148 males and 33 females with the mean age of 63.9 years ranging from 60-70 years. We summarized the follow-up data and carried on the univariate analysis of relatively recurrent data. Result The result of univariate analysis showed that tumor recurrence as well as matastasis statistically related with degree of differentiation,p TNM stage,whether there was lymph node metastasis or not,and the number of lymph node metastasis（P〈0.05）,but not with gender,age,the length of tumor,the site of tunor,or other clinicopathologic characteristics（P〉0.05）. Conclusion The main factors influencing over five years survival rate after esophageal carcinoma resection are p TNM staging when operating,lymph node metastasis or not,and the number of lymph node metastasis.

关 键 词：食管癌 手术治疗 长期生存 复发转移 

分 类 号：R735.1[医药卫生—肿瘤]