190例行根治性手術(shù)胃癌患者預(yù)后的多因素分析.pdf

1、新疆醫(yī)科大學(xué)碩士學(xué)位論文190例行根治性手術(shù)胃癌患者預(yù)后的多因素分析姓名：段戰(zhàn)鋒申請學(xué)位級別：碩士專業(yè)：腫瘤學(xué)指導(dǎo)教師：王海江2010-04新疆醫(yī)科大學(xué)醫(yī)學(xué)碩士學(xué)位論文 —2—The analysis of prognosis influencing factor for 190 gastric carcinoma patients by radical surgery Postgraduate:Duan Zh

2、anfeng Supervisor:Associate Professor Wang Haijiang Abstract Objeetive：To investigate the relationship between clinicopathologic features and prognosis of radical resection gastric cancer patients.Methods

3、:The clinicopathologic data of 190 gastric carcinoma patients were analyzed retrospectively. All patients underwent radical or palliative gastrectomy in Xin jiang University Cancer Hospital. Age,sex,nation,PL

4、T counting,CA19- 9 counting,CA72- 4 counting,tumor location, Borrmann type, tumor diameter,preoperative transfusion,histological type,TNM staging postoperative chemotherapy,were monitored.We investigated the r

5、elationship between the clinicopathological characteristics of tumor,including survival.Results: The median survival time of 190 gastric cancer patients was 41.67 months and the overall 1、 2、 3 years surv

6、ival rates were 85.26%、65.52% and 57.16%. Univariate analysis showed that the predictors of survival in gastric caneer patients were age anemia,tumor diameter,PLT counting,CA19- 9 counting,CA72- 4 co

7、unting,Borrmann type,preoperative transfusion，pathology type,TNM staging,and postoperative chemotherapy(P<0.05).Multivariate analysis showed that only Borrmann type TNM staging and postoperative chemothera

8、py were independent determinents factors.Conclusion: The following prognostic factors can influence the survival of gastric cancer patients:age,anaemic,PLT counting,CEA counting,CA19- 9 counting,CA72- 4 counting

9、,tumor diameter,tumor location, preoperative transfusion, pathology type,TNM staging and postoperative chemotherapy .Borrmann type,TNM staging,postoperative chemotherapy are the independence prognosis fac