【摘要】 目的观察胃癌胃大部切除术后生存及预后情况,分析影响患者长期生存的可能相关因素。方法收集我院150例胃癌根治性切除病例的临床病理资料,按各因素将研究对象分组,并对各组生存率进行统计分析,从而探讨影响因素。结果性别、病理分期及肿瘤大小是影响胃癌术后生存率的因素。男性患者术后生存率低于女性患者(P<0.05);病理分期是影响胃癌术后生存率的关键因素,不同病理分期间差异有统计学意义(P<0.01);肿瘤体积≥4 cm比肿瘤体积<4 cm的生存率低(P<0.05)。而年龄、组织学类型及根治度并非影响因素(P>0.05)。结论性别、病理分期及肿瘤大小对胃癌预后有重要影响,早期诊断、早期治疗是提高胃癌术后生存率的关键。更多还原

【Abstract】 Objective To study the long term survival factor of gastric carcinoma after subtotal gastrectomy.Method Clinical data of 150 patients of gastric carcinoma after subtotal gastrectomy were collected and retrospectively analyzed.Result Sexuality,pathological staging and size of the tumor are the factors affecting the survival rate of patients after radical gastrectomy.Male patients had a lower survival rate than the female patients(P< 0.05).Pathological staging is an important factor in the assessment of the survival rate(P<0.01).Patients with a tumor volume greater than 4cm had a lower survival rate than with a tumor volume less than 4 cm(P<0.05).Age,histological types and the degree of radical cure were not the key factors in the assessment of the patient survival.Conclusion Sexuality,pathological staging and the size of tumor are the major factors for the prognosis of carcinoma of stomach.Early detection and treatment are important in improving the survival rate.更多还原