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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。
Objective To observe the survival and prognosis of gastric cancer after subtotal gastrectomy and analyze the possible related factors that affect the long-term survival of patients. Methods The clinical and pathological data of 150 cases of radical resection of gastric cancer in our hospital were collected. The subjects were grouped according to various factors, and the survival rates of each group were statistically analyzed to explore the influencing factors. Results Sex, pathological staging and tumor size were the factors influencing the postoperative survival rate of gastric cancer. The postoperative survival rate of male patients was lower than that of female patients (P <0.05). The pathological staging was the key factor influencing the postoperative survival rate of gastric cancer patients, with significant difference between different pathological stages (P <0.01) Survival was low (P <0.05) for tumors <4 cm in size. However, age, histological type and degree of cure were not influencing factors (P> 0.05). Conclusion The gender, pathological stage and tumor size have an important influence on the prognosis of gastric cancer. Early diagnosis and early treatment are the keys to improve the postoperative survival rate of gastric cancer.