胃癌67例临床分析详解.docVIP

胃癌67例临床分析 作者单位：317600浙江省玉环县中医院病理科董健余 [摘要] 目的 观察胃癌的临床病理特点及其与预后的关系。方法 回顾性分析经手术切除和病理确诊的67例胃癌患者临床资料。结果 所有67例病例中，其中男41例性病例中五年后有23例存活，五年生存率56.1%；女性有13例存活，五年生存率为50.0%，两组差异无统计学意义（P0.05）；年龄≤40岁者13例，五年存活率为46.2%；年龄＞40岁者54例，五年存活率55.6%，两组差异无统计学意义（P0.05）；肿瘤部位：胃底部14例，有7例五年后存活（50.0%）；胃体22例，五年生存12例（54.5%），胃窦部31例中17例五年后存活（54.8%），三组间差异无统计学意义（P0.05）；组织学类型：腺癌者59例，其五年生存率为55.9%（33/59），与印戒细胞癌（40.0%，2/5）和未分化癌（33.3%,1/3）无显著性差异，（x2=0.36， P0.05）；治疗时已发生远处转移的40例患者五年生存率为40.0%(16/40)，远低于未发生转移的74.1%(20/27)（x2=7.53，P0.05）；根据国际抗癌联盟(UICC)制定的TNM分期系统Analysis of prognosis and clinical pathology feature in the patients with gastric carcinoma 补：作者姓名、科室、单位。 [Abstract] Objective To observe the relationship between prognosis and clinical pathology in the patients with gastric carcinoma. Methods 67 patients who got operation and definite diagnosed as gastric carcinoma in our hospital from January 1998 to December 2004 were retrospective analyzed. Results Among the 41 cases of male patients, there were 23 patients survival five years after treatment. The five year survival rate was 56.1% in male while the five year survival rate was 50.0% in female. There was no significant associatively between male and female, P0.05. The survival rate was 46.2% when the patients were younger than 40 while the five year survival rate was 55.6% when the age was over 40. There were no significant differences in these two groups, P0.05. The five year survival rate was 50.0% when the location of tumor was at pylorus while it was 54.5% at Gastric and 54.8% at antrum of stomach. There were no significant differences in these three groups, P0.05. The five year survival rate of adenocarcinoma was 55.9%, signet ring cell carcinoma was 40.0% and undifferentiatied carcinoma was 33.3%. There were no significant differences in these three groups, x2=0.36，P0.05. The five year survival rate of 40 patients who have distance metastasis when they accepted treatment was 40.0% which was lower than that in the 27 patients who haven’t distance