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胃癌淋巴结转移相关影响因素的临床研究

, PP. 971-974

Keywords: 胃癌,淋巴结转移,回归分析

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Abstract:

目的探讨胃癌淋巴结转移的规律,为临床确定合理的淋巴结清扫范围及术后辅助治疗提供依据。方法收集2006年1月-2009年6月943例经手术治疗的胃癌患者资料,针对淋巴结转移情况与性别、年龄、民族、胃癌的原发部位、Borrmann分型、分化程度、浸润深度、肿瘤大小及组织学类型等因素进行分析。结果943例胃癌患者中有淋巴结转移591例,转移率62.67%,胃癌淋巴结转移相关影响因素的单因素分析显示,原发部位、Borrmann分型、分化程度、浸润深度、肿瘤大小和组织学类型均为胃癌淋巴结转移的有意义因素。多因素Logistic回归分析显示,浸润深度、肿瘤大小和组织学类型为胃癌淋巴结转移的独立危险因素。结论浸润深度、肿瘤大小及组织学类型是评价和预测胃癌患者淋巴结转移情况的主要因素。

References

[1]  彭朝龙,贺卫东.胃癌淋巴结转移因素分析[J].中国肿瘤临床,2003(10):747-749.
[2]  Johnson H Jr,Belluco C,Masood S,et al.The value of flow cytometric analysis in patients with gastric cancer[J].Arch Surg,1993,128(3):314-317.
[3]  Saito H,Fukumoto Y,Osaki T, et al.Prognostic significance of the ratio between metastatic and dissected lymph nodes(n ratio)in patients with advanced gastric cancer[J].J Surg Oncol,2008,97(2):132-135.
[4]  陈俊强,詹文华,何裕隆,等.胃癌淋巴结转移预测的Logistic回归分析[J].中华胃肠外科杂志,2005,(5):436-439.
[5]  Son HJ,Song SY,Kim S,et al.Characteristics of submucosal gastric carcinoma with lymph node metastatic disease[J].Histopathology(Oxford),2005,46(2):158-165.
[6]  Kawaguchi A,Nagao S,Takebayashi K,et al.Long-term outcome of endoscopic semiconductive diode laser irradiation therapy with injection of indocyanine green for early gastric cancer[J].J Gastroenterol Hepatol,2008,23(8):1193-1199.
[7]  Lee SE,Lee JH,Ryu KW,et al.Sentinel node mapping and skip metastases in patients with early gastric cancer[J].Ann Surg Oncol,2009,16(3):603-608.
[8]  Jeong O,Ryu SY,Park YK.Accuracy of surgical diagnosis in detecting early gastric cancer and lymph node metastasis and its role in determining limited surgery[J].J AM Coll Surg,2009,209(3):302-307.

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