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目的探讨残胃癌的临床病理特点和预后。方法回顾性分析47例随访资料完整的残胃癌的临床病理资料;Log rank检验比较根治术组与姑息切除术组的术后生存率;应用Cox比例风险模型对各影响预后的因素进行回归分析。结果手术切除率为95.7%(45/47),根治切除率64.4%(29/45)。根治术组与姑息切除术组的术后1、3、5年生存率分别为(89.6%VS 31.2%)、(58.6%VS 0)、(24.1%VS 0),两组术后生存率的差异有统计学意义(P<0.05)。手术方式、临床分期、组织学分化、肝转移情况是残胃癌患者预后的独立影响因素。结论根治性手术可提高残胃癌患者的生存率;根治性手术、临床分期为Ⅰ期、Ⅱ期,高分化、无肝转移的患者预后较好。
Objective To investigate the clinicopathological features and prognosis of gastric stump cancer. Methods The clinical data of 47 gastric cancer patients with complete follow-up were retrospectively analyzed. The Log rank test was used to compare the postoperative survival rate between the radical operation group and the palliative group. The Cox proportional hazards model was used to analyze the prognostic factors. Results The surgical resection rate was 95.7% (45/47), and the radical resection rate was 64.4% (29/45). The 1, 3, 5-year survival rates were (89.6% VS 31.2%), (58.6% VS 0) and (24.1% VS 0) in the radical operation group and the palliative operation group respectively. The postoperative survival rates The difference was statistically significant (P <0.05). Surgical methods, clinical stage, histological differentiation, liver metastases are independent prognostic factors in patients with gastric cancer. Conclusions Radical surgery can improve the survival rate of gastric cancer patients. The radical surgery, clinical stage Ⅰ, Ⅱ, well-differentiated, non-liver metastasis patients with good prognosis.