老年人胃癌预后的相关因素分析.pdfVIP

癌疗效的重点；性别、年龄与老年人胃癌术后的生存时间无显著相关，因此性别 与年龄不应该成为影响老年人胃癌积极治疗的因素；在老年胃癌的治疗过程中， 我们应该根据每一个患者的具体情况，对术前基本情况，临床TNM 分期等各种 因素整体分析，选择最恰当的治疗措施提高患者生存质量，延长生命，以更好的 改善老年胃癌患者的预后。 【关键字】胃癌；老年；临床病理 ；生存时间 2 Analysis of prognostic related factors in elderly patients with gastric cancer Postgraduate：Chen Song Director：Dai Qi Bao Abstract Objective：Clinical and pathological characteristics and prognosis of elderly patients with gastric cancer operation research, provides the theory basis for the treatment of elderly patients with gastric cancer. Methods：Retrospective analysis of our hospital from 2002 November to 2009 September were confirmed by operation and pathology of gastric cancer in elderly patients (≥ 65 years) in 92 cases, including 36 cases of 65-70 years (including 60 years does not contain 70 years old), 70-80 years 46 cases (including 70 years does not contain 80 years old), 80-90 years 8 cases (including 80 not including 90 years old); By telephone and outpatient follow-up, follow-up postoperative survival time. Using chi-square test, Kaplan-Meier statistic to elderly gastric cancer prognosis may be more than 15 kinds of related factors. The statistics of gastric cancer and postoperative survival factors related to time, all data analysis by SPSS19.0 software. Results：(1) symptoms and course: this group of elderly patients with gastric carcinoma cases mostly with abdominal pain or abdominal fullness discomfort, accounted for 57.1%, abdominal pain and hemafecia, black times; then dysphagia, the average duration of 5.21 months, in most of the cases are advanced; (2) gender: gastric carcinoma