摘要
目的探讨影响胃癌根治术后肝转移发生的相关临床病理因素。方法回顾性分析我院1996—2001年间收治的胃癌根治术后发生肝转移患者87例的临床资料。结果胃癌根治术后1、3和5年无肝转移发生率分别为61%、33%和5%。单因素分析显示：原发灶部位、原发灶大小、分化程度、浸润深度、Lauren分型、淋巴结转移及原发灶切除方式与胃癌根治术后肝转移的发生显著相关;多因素分析显示：原发灶大小、Lauren分型和淋巴结转移是影响胃癌根治术后肝转移发生的独立因素。结论原发灶大小、Lauren分型和淋巴结转移是评价胃癌根治术后肝转移发生的重要参考因素。
Objective To analyze the clinical and pathologic factors influencing hepatic metastasis from gastric cancer after radical gastrectomy. Methods A retrospective study was made on the clinical data of 87 gastric cancer cases between the year of 1996-2001 suffering from hepatic metastasis after radical gastrectomy. Results Among 87 patients, the 1, 3 and 5-year non-hepatic metastasis rates were 61%, 33% and 5% respectively. With univariate analysis, the location of gastric cancer, the size, tumor differentiation, invasive depth, Lauren classfication, lymph node metastasis and modes of gastrectomy were significant factors associated with hepatic metastasis after radical gastrictomy. With multivariate analysis, the size of gastric cancer, the Lauren classification and metastasis of lymph nodes from lymphadenectomy were independent factors associated with hepatic metastasis after radical gastrectomy. Conclusions The size of gastric cancer, the Lauren classification and metastasis of lymph nodes from lymphadenectomy are important factors associated with the possibility of hepatic metastasis from gastric cancer for patients after radical gastrectomy.
出处
《中华普通外科杂志》
CSCD
北大核心
2007年第10期739-742,共4页
Chinese Journal of General Surgery
关键词
胃肿瘤
肿瘤转移
病理学
临床
胃切除术
Stomach neoplasms
Neoplasm metastasis
Pathology, clinical
Gastrectomy
