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目的探讨乳腺癌腋淋巴结转移的临床病理相关因素,为乳腺癌患者病情判断选择、合理手术方式提供依据。方法应用单因素和多因素的分析方法,回顾性分析经手术治疗的134例乳腺癌患者与腋淋巴结转移相关临床病理资料。结果单因素分析结果显示病理类型、肿瘤大小、肿瘤部位与乳腺癌腋淋巴结转移有关(P<0.05);Logistic回归分析结果显示患者年龄越小,乳腺癌腋淋巴结转移的危险越大(OR=0.934);肿瘤越大,乳腺癌腋淋巴结转移的危险越大(OR=11.050);肿瘤部位越靠乳腺内侧,乳腺癌腋淋巴结转移的危险越小(OR=0.375)。结论乳腺癌腋窝淋巴结转移受病理类型、肿瘤越大和肿瘤部位等多种因素影响。
Objective To investigate the clinicopathological factors of axillary lymph node metastasis in breast cancer and provide the basis for judging the condition of breast cancer patients and the reasonable surgical methods. Methods One-factor and multi-factor analysis methods were used to retrospectively analyze the clinicopathological data of 134 cases of breast cancer with axillary lymph node metastasis. Results The results of univariate analysis showed that the pathological type, tumor size and tumor location were related to the axillary lymph node metastasis of breast cancer (P <0.05). Logistic regression analysis showed that the younger the patients, the greater the risk of axillary lymph node metastasis (OR = 0.934 ). The greater the tumor, the greater the risk of axillary lymph node metastasis (OR = 11.050). The closer the tumor site is to the inside of the breast, the less the risk of axillary lymph node metastasis (OR = 0.375). Conclusion Breast cancer axillary lymph node metastasis by the pathological type, the larger the tumor and tumor sites and other factors.