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当前位置: 首页 > 文章 > 直肠癌患者淋巴结转移相关临床病理因素分析 长江大学学报(自科版)农学卷 2009,6 (1) 15-18+81
Position: Home > Articles > Analysis of Relative Factors of Lymph Node Metastasis in Rectal Cancer Patients Journal of Yangtze University(Natural Science Edition)Agricultural Science Volumn 2009,6 (1) 15-18+81

直肠癌患者淋巴结转移相关临床病理因素分析

作  者：
杨玉恺;熊斌
单  位：
武汉大学中南医院肿瘤科
关键词：
直肠癌;淋巴结转移;分化;组织类型;肿瘤浸润
摘  要：
目的:探讨直肠癌淋巴结转移的相关影响因素,为临床治疗提供参考。方法:回顾性分析施行根治性手术治疗直肠癌患者386例的临床资料,采用卡方检验及Logistic多因素回归分析相关临床病理因素与淋巴结转移的关系。结果:直肠癌患者性别及肿瘤位置与淋巴结转移无关(P>0.05),而患者年龄(P<0.05)、肿瘤大小、分化程度、组织类型、肿瘤浸润深度、术前CEA(P<0.01)与淋巴结转移明显相关;Logistic多因素回归分析得出的与淋巴结转移的相关因素按密切程度依次递减为肿瘤浸润深度、肿瘤分化程度。结论:影响直肠癌淋巴结转移的相关因素有年龄、肿瘤大小、分化程度、组织类型、肿瘤浸润深度、术前CEA,其中肿瘤浸润深度、肿瘤分化程度为淋巴结转移的主要相关因素。
译  名：
Analysis of Relative Factors of Lymph Node Metastasis in Rectal Cancer Patients
作  者：
Yang Yu-kai,Xiong Bin (Department of Oncology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)
关键词：
Rectal cancer;Lymph node metastasis;Differentiating degree;Histology type;the Depth of tumor invasion
摘  要：
Objective:To study the relative factors of lymph node metastasis in rectal cancer so as to help clinical diagnosis and treatment.Methods:Clinical data of 386 cases of rectal cancer undergoing radical resection were analyzed.The relationship between lymphatic metastasis and clinicopathologic variables were evaluated by Chi-squared test and logistic regression.Results:Lymph node metastasis in rectal cancer patients had nothing to do with gender and lesion sites(P>0.05).Age,tumor size,the differentiating degree of the tumor,histology type,the depth of tumor invasion and the preoperative blood serum CEA level were proved to be main factors influencing the lymph node metastasis in colorectal cancer.After logistic regression estimation,the correlativity of risk factor of lymph node metastasis in colorectal cancer fall from the depth of tumor invasion and the differentiating degree of the tumor.Conclusion:The lymphatic metastasis of rectal carcinoma is related to age,tumor size,the differentiating degree of the tumor,histology type,the depth of tumor invasion and the preoperative blood serum CEA level;the depth of tumor invasion and the differentiating degree of the tumor are found to be major factors.

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