【摘要】 目的:探讨胃癌根治术大体标本脉管内侵犯阳性患者预后。方法:对我科2011年1月~2013年11月间实施胃癌根治术的101例患者根据大体标本脉管内侵犯与否分为两组,分析两组病人术后随访资料,比较两组生存期有无差别。结果:随访率97%(98/101),随访时间为24~46月,中位时间35个月。脉管内侵犯阳性组56例,随访期间死亡24例,带瘤生存4例,失访3例,病死率为50%。脉管内侵犯阴性组45例,随访期间死亡3例,带瘤生存1例,病死率为8.9%。结论:脉管内侵犯阴性者预后明显好于阳性患者,但是在预测无瘤生存期或存活期时间的长短上没有意义。更多还原

【Abstract】 Objective: To observe the prognosis of gastric cancer patients with vascular invasion. Methods: The gross specimens were obtained from 101 patients with gastric carcinoma received radical gastrectomy in our department between January 2011 and November 2013,and divided into two groups according to the conditions of vascular invasion. Postoperative follow-up data were analyzed and compared for the survival in the two groups of patients.Results: 97%( 98 /101) of the patients were followed up from 24 to 46 months,with a median time of 35 months. In 56 cases with vascular invasion except loss of follow-up in 3,twenty-four were dead,4 were alive with tumor,and the case fatality rate was 50%. Follow-up of the 45 cases without vascular invasion indicated death occurring in 3,and living with tumor in 1. The case fatality rate was 8. 9%. Conclusion: Gastric patients without vascular invasion had much better prognosis than those with vascular involvement,yet the two indicators have no value in predicting the disease-free survival and length of survival after operation.更多还原