早期胃癌53例临床病理特征与预后的关系分析

目的探讨早期胃癌（EGC）的临床病理特征与预后的关系。方法采用单因素与多因素的分析方法,回顾性分析53例EGC患者的临床病理特征及其对预后的影响。结果单因素分析显示肿瘤大小、浸润深度、分化程度及淋巴结转移与EGC的预后相关,与该因素其他项目比较差异均有统计学意义（P〈0.05）。多因素分析提示肿瘤大小、浸润深度、分化程度及淋巴结转移均不是EGC预后的独立性危险因素。结论 EGC的肿瘤大小、浸润深度、分化程度、淋巴结转移与EGC预后相关,应注意提高EGC检出率,以降低胃癌病死率。

Analysis of relationship between clinicopathology characteristics and prognosis of 53 cases with early gastric cancer

Objective To analyze the relationship between clinicopathology characteristics of early gastric cancer （ EGC） and its prognosis. Methods Analyzed the clinicopathology characteristics of EGC and their relationships with its prognosis retrospectively by univarite and multivariate analysis. Results Univariate analysis demonstrated that tumor size,depth of invasion,differentiation grade and lymph node metastasis were all related to prognosis of EGC,and compared with other items of these factors,the differences were statistically significant（ P〈0. 05）. Multivariate analysis demonstrated that tumor size,depth of invasion,differentiation grade and lymph node metastasis were all not independent risk factors for prognosis of EGC. Conclusion Tumor size,depth of invasion,differentiation grade and lymph node metastasis were all related to prognosis of EGC,so we should pay attention to improve the detection rate of EGC,which can reduce the fatality rate of gastric cancer.