食管癌132例术后复发转移的多因素分析.docVIP

食管癌132例术后复发转移的多因素分析 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：食管癌132例术后复发转移的多因素分析 1 1 临床资料 2 2 结果 4 3 讨论 5 文2：影响乳腺癌患者术后复发转移的因素分析 6 无728 8 无4483 8 无5081 8 参考文摘引言： 11 原创性声明（模板） 12 文章致谢（模板） 12 正文 食管癌132例术后复发转移的多因素分析 文1：食管癌132例术后复发转移的多因素分析 ［Abstract］ Objective To investigate the relevant facto of recurrence and metastasis and prognosis with esophageal cancer after In our hospital from January 1998 to December 2004，132 cases of esophageal cancer with recurrence and metastasis were analyzed retrospectively to clinical TNM stage（1987 UICC stage），Phase I of 12 cases，45 cases Phase Ⅱ，Ⅲ of 75 73 cases，59 cases of the Han nationality in all was used for data survival rate calculated by Kaplan-Meier method and Log-rank test，the rate was compared with χ2 test and survival facto by COX multi-factor Lymph node metastasis were in 75 cases（%），blood trafer 14 cases，（%）；mixed trafer 26 cases（%），anastomotic recurrence in 17 cases（%），The 3，5-year recurrence rate was %，% median survival time was ，5-year disease-free survival rate was %，% ，5-year survival rate after recurrence was %，0% ，methods of surgery，TNM stage，whether chemotherapy，radiotherapy or not postoperation is influencing facto on recurrence and metastasis with esophageal ，TNM stage，whether chemotherapy，radiotherapy or not postoperation is influencing facto on survival time in patients with esophageal cancer recurrence and The regulation of the operation and combined with therapy（chemotherapy and radiotherapy，etc.），can improve survival in patients with esophageal cancer and quality of life. ［Key words］ esophageal cancer；recurrence；prognosis；facto analysis 食管癌作为恶性肿瘤在新疆地区属于多发病，近几年有增长趋势，术后复发及转移是治疗失败的主要原因。本文收集1998年1月至2004年12月在我院诊治并首次治疗的符合入选标准、临床资料完整的132例胸段食管鳞癌肿瘤术后复发转移患者的临床资料，并进行预后危险因素分析，了解其复发特点、治疗效果及预后因素。探讨食管癌术后复发转移的相关因素，以期对新疆维吾尔自治区的食管癌临床防治工作提供一定的帮助。 1 临床资料 一般资料 132例胸段食管鳞癌肿瘤术后复发转移患者均经病理证实，其中男80例，女52例。按临床TNM分期（1987年UICC分期法）Ⅰ期12例，Ⅱ期45例，Ⅲ期75例。维族73例，汉族59例。复发患者原发瘤手术时年龄：45～68岁，中位年龄57岁。肿瘤病理类型均为鳞癌