食管癌下颈部淋巴结转移的危险因素分析  

Analysis of Risk Factors for Lower Cervical Lymph Node Metastasis in Esophageal Cancer

作　　者：刘永玲 Liu Yongling(Department of Ultrasound,Xuzhou Fengxian People's Hospital,Xuzhou 221700,Jiangsu Province,China)

机构地区：[1]徐州市丰县人民医院超声科,江苏徐州221700

出　　处：《中外医药研究》2025年第7期51-53,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析食管癌下颈部淋巴结转移的危险因素。方法:选取徐州市丰县人民医院2021年1月—2024年12月接诊的100例食管癌患者为研究对象,收集其临床资料,根据下颈部淋巴结转移情况纳入转移组(n=30)和未转移组(n=70),分析食管癌下颈部淋巴结转移的危险因素。结果:两组年龄、肿瘤直径、吸烟史、肿瘤位置比较,差异有统计学意义(P<0.05)。Logistic多因素分析显示,年龄大、有吸烟史、肿瘤部位为中上段、肿瘤直径大、分化程度低均为食管癌下颈部淋巴结转移的独立危险因素(P<0.05)。结论:食管癌下颈部淋巴结转移与患者年龄、吸烟史及肿瘤部位、直径、分化程度有关,临床应进行针对性干预。Objective:To analyze the risk factors for lower cervical lymph node metastasis in esophageal cancer.Methods:Clinical data from 100 patients with esophageal cancer admitted to Xuzhou Fengxian People's Hospital from January 2021 to December 2024 were collected.Based on the status of lower cervical lymph node metastasis,patients were divided into a metastasis group(n=30)and a non-metastasis group(n=70).The risk factors for lower cervical lymph node metastasis in esophageal cancer were analyzed.Results:Significant differences were observed between the two groups in terms of age,tumor diameter,smoking history,and tumor location(P<0.05).Logistic multivariate analysis revealed that older age,smoking history,tumor location in the middle and upper segments,larger tumor diameter,and lower differentiation degree were independent risk factors for lower cervical lymph node metastasis in esophageal cancer(P<0.05).Conclusion:Lower cervical lymph node metastasis in esophageal cancer is associated with patient age,smoking history,tumor location,diameter,and differentiation degree.Targeted clinical interventions should be implemented accordingly.

关 键 词：食管癌 下颈部淋巴结转移 危险因素 

分 类 号：R735.1[医药卫生—肿瘤]