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1、胃癌手术患者的临床病理特点研究【摘要】目的:探讨不同部位胃癌手术患者的临床病理特点。方法:选取2012年1月-2014年12月于木院普通外科进行根治性胃癌切除手术的110例胃癌患者作为研究对象,并根据肿瘤部位的不同分为胃底贲门部(U组)、胃体小弯部(M组)和胃窦幽门部(L组),从性别、年龄、癌肿大小、病理分型和TNM分期等方面对不同部位胃癌患者的临床病理特点进行回顾性分析与总结。结果:110例患者屮,U组16例,占病例总数的14.55%;M组28例,占病例总数的25.45%;L组66例,占病例总数的60.00%。U
2、组男女比例为4.33:1(13/3),男性所占比例最大,平均年龄(60.23±10.25)岁,三组中发病年龄最高(P〈0・05)。癌肿大小方面,U组最大,L组最小(P〈0.05)。三组胃癌Borrmann分型比较,U组浸润型(III〜IV型)所占比例最大,L组最小(P〈0・05)。结论:不同部位的胃癌有其较为独立的临床病理特点,胃体小弯部肿瘤其临床病理特点介于胃底贲门部和胃窦幽门部,所以在治疗时,应该结合其临床特点,具体问题具体分析。【关键词】胃癌;病理特点;根治性胃癌切除术TheResearchofClinica
3、lPathologicalFeaturesofGastrectomyPatients/SHTYan.//MedicalInnovationofChina,2016,13(04):128-130【Abstract】Objective:Toinvestigatetheclinicalpathologicalfeaturesofgastriecarcinomasurgerywithdifferenttumourlocations.Method:110gastriccancerpatientsreceivedradical
4、gastrectomytreatmentinourhospitalfromJanuary2012toDecember2014werechosenastheresearchobjects・Accordingtothedifferent1ocationsofthetumor,patientsweredividedintogastriccardia(groupU),gastricbodylessercurvature(groupM)andgastricantrumpylorus(groupL)•Theclinicalpa
5、thologicalfeaturesofthethreegroupswerecomparedingender,age,tumorsize,pathologicaltype,andTNMstaging・Result:Amongthe110cases,thegroupUcontained16case(14.55%),thegroupMcontained(28cases),thegroupLcontained66cases(60.00%)・Theratioofmalepatientswithfemaleinthegrou
6、pUarrived4.33:1(13/3),inwhichtheaverageagewas(6.023±10.25)yearsold,showedasthelargestmaleproportionandtheeldestageofonset(P<0.05)•ThetumorsizeofthegroupUwasthemaximumandsizeofthegroupLwastheminimum(P<0.05)・Theproportionofinfiltrationtype(III-IV)ofthegroupUwast
7、helargest,whichinthegroupLwastheminimum(P<0.05)•Conclusion:Differentlocationsofgastriccancerhasitsrelativelyindependentoftheclinicalpathologicalfeatures.Thepathologicalfeaturesofgastricbodylessercurvaturecancerisbetweengastricfunduscardiaandantrumpylorus.There
8、fore,thegastrictreatmentmustonthebasisoftheclinicalcharacteristicsandspecificissuesanalysisrespectively.[Keywords】GastrieCancer;Pathologicalfeatures;RadicalgastrectomyFirst-author?