胃癌腹主动脉旁淋巴结转移的危险因素——一项基于二十年住院患者的研究结果

doi:10.3971/j.issn.1000-8578.2010.11.016

胃癌腹主动脉旁淋巴结转移的危险因素——一项基于二十年住院患者的研究结果

Result of Risk Factors for Para aortic Lymph Node Metastasis of Gastric Cancer Based on Hospital Population of Two Decades

摘要

摘要: 目的探讨胃癌腹主动脉旁淋巴结转移的危险因素。方法收集我院近二十年的胃癌患者数据，其中255名接受了胃切除+腹主动脉旁淋巴结切除手术的T2~T4期胃癌患者入选。分析他们的临床病理特征和腹主动脉旁淋巴结转移之间的关系。结果在校正了其他因素之后，性别、肿瘤位置、Borrmann 分型和其他脏器转移等四个因素是腹主动脉旁淋巴结转移的独立危险因素。结论性别、肿瘤位置、Borrmann 分型和其他脏器转移与腹主动脉旁淋巴结转移显著相关。这项发现也许对预测腹主动脉旁淋巴结是否存在转移有益。

Abstract: Objective No risk factor has been confirmed for para-aortic lymph node (PAN) metastasis from gastric cancer.To identify the risk factors of metastasis to PAN，we analyzed the data from a hospital population of two decades. Methods 255 patients with T2~T4 gastric cancer underwent gastrectomy with PAN dissection.The association between various clinicopathological factors and PAN metastasis was examined. Results Gender，tumor location，Borrmann type，and combined organ metabasis were significant risk factors for PAN metastasis after adjusting for other factors.The proportion of PAN metastasis was clearly different among the N0~3 groups (P=0.000). Conclusion Gender，tumor location，Borrmann type，and combined organ metabasis were associated with PAN metastasis.This finding may be useful in predicting PAN metastasis.

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