摘要
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。
Objective To explore the patterns of lymphatic metastasis of gastric cancer and to provide the basis for the choosing of reasonable range of lymph node dissection and adjuvant therapy.Methods The information of 943 gastric cancer patients from January in 2006 to June in 2009 who had been treated by surgery were collected and the relationship between the lymphatic metastasis and factors including sex,age,ethnicity,primary site of gastric cancer,Borrmann type,histological grade,depth of invasion,tumor size and histological type were analyzed.Results 591 patients showed lymphatic metastasis in 943 gastric cancer patients and the transfer rate was 62.67%.Univariate analysis showed that primary site of gastric cancer,Borrmann type,histological grade,depth of invasion,tumor size and histological type were related with lymphatic metastasis.Multivariate analysis showed that depth of invasion,tumor size and histological type were the main factors of lymphatic metastasis of gastric cancer.Conclusion Depth of invasion,tumor size and histological type are main foundations in evaluation and prediction of lymphatic metastasis of gastric cancer.
出处
《宁夏医科大学学报》
2010年第9期971-974,共4页
Journal of Ningxia Medical University
关键词
胃癌
淋巴结转移
回归分析
gastric cancer
lymphatic metastasis
regression analysis
