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回顾性研究了天津市肿瘤医院1985～1990年间接受手术治疗的628例胃癌病人,对其临床、病理和手术等指标进行单因素和多因素Cox回归分析。结果:总体3年生存率(3-YRS)、5-YRS和10-YRS分别为38.2％、25.6％和20.4％。手术切除率为75.2％。手术死亡率为2.7％。早期癌为4.6％。经多因素回归分析,影响预后的独立因素依次为:根治程度>淋巴转移>浸润深度>组织类型>肿瘤部位。相关因素包括:分化程度、Borrmann分型、肿瘤大小和年龄。其它因素与预后无明显相关性。
A retrospective study was conducted on 628 patients with gastric cancer undergoing surgical treatment in Tianjin Cancer Hospital from 1985 to 1990. Univariate and multivariate Cox regression analysis was performed on their clinical, pathological, and surgical indicators. Results: The overall 3-year survival rate (3-YRS), 5-YRS, and 10-YRS were 38.2%, 25.6%, and 20.4%, respectively. The surgical resection rate was 75.2%. The operative mortality rate was 2.7%. Early cancer was 4.6%. After multivariate regression analysis, the independent factors affecting the prognosis were: radical degree> lymphatic metastasis> depth of invasion> tissue type> tumor site. Related factors include: degree of differentiation, Borrmann classification, tumor size, and age. There was no significant correlation between other factors and prognosis.