首次入院的食管癌患者是否选择手术治疗的影响因素

目的:探讨首次入院的食管癌患者是否选择手术治疗的影响因素。方法:选取2014年11月11日至2015年12月23日在西安交通大学第一附属医院住院的食管癌患者，收集并分析患者入院相关信息，包括性别、年龄、住址、入院时间、入院科室、并发疾病、是否有局部转移、是否有远处转移、肿瘤家族史、肿瘤位置、病理类型及分化程度。结果:首次入院科室为外科的手术几率远较非外科的要高(OR=76.998，95%CI:27.614~214.697)。手术患者发现局部淋巴结转移的几率较非手术患者高7倍(OR=7.245，95%CI:2.807~4.099)。如果发现远处转移，则更倾向于选择非手术治疗(OR=0.142，95%CI:0.051~0.4)。非手术患者组有肿瘤家族史的较手术患者组多(OR=0.419，95%CI:0.18~0.972)。结论:有远处转移及肿瘤家族史的患者更倾向于非手术治疗，入住外科的患者更倾向于手术治疗。

Analysis of the factors affecting the selection of surgical treatment for the first hospitalized patients with esophageal cancer

Objective:To investigate the factors affecting the selection of surgical treatment for the first hospitalized patients with esophageal cancer.Methods:The information of patients with esophageal cancer who hospitalized at the First Affiliated Hospital of Xi'an Jiaotong Universtiy from November 11，2014 to December 23，2015 were collected and analyzed.The information includes gender，age，address，admission time，admission department，concurrent disease，local metastasis or distant metastasis，family history of tumor，tumor location，histological type and differentiation degree.Results:The patients who first admitted to surgical departments were much more likely to have operation than those to non-surgical sections(OR=76.998，95%CI:27.614~214.697).The risk of local lymph node metastasis in patients with surgery was 7 times higher than that in patients without surgery (OR=7.245，95%CI:4.099~2.807).Non-operative treatment was more likely to be chosen for patients with distant metastasis than those without distant metastasis(OR=0.142，95%CI:0.051~0.4).The number of patients with a family history of tumor in non-operative group was more than that of the patients in surgical group(OR=0.419，95%CI:0.18~0.972).Conclusion:Non-surgical treatment was more likely to be chosen for patients with distant metastasis and a family history of tumor.Surgery was more likely to be chosen for patients who admitted to surgical departments.