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胃癌患者术前贫血与术后并发症及预后的相关性
引用本文:张文明,陆春雷,李科军,刘书尚,丰帆,郭曼,张洪伟. 胃癌患者术前贫血与术后并发症及预后的相关性[J]. 现代肿瘤医学, 2021, 0(7): 1183-1187. DOI: 10.3969/j.issn.1672-4992.2021.07.017
作者姓名:张文明  陆春雷  李科军  刘书尚  丰帆  郭曼  张洪伟
作者单位:1.空军军医大学西京医院消化外科,陕西 西安 710032;2.临夏州人民医院普外科,甘肃 临夏 731100;3.无锡眀慈医院消化病中心,江苏 无锡 214000
基金项目:国家自然科学基金(编号:81772937,81672742)。
摘    要:目的:探讨术前贫血和贫血程度与胃癌并发症及预后的关系.方法:对2008年10月至2016年11月期间空军军医大学西京医院消化外科3692例行胃癌根治术患者的临床资料进行分析.探索术前贫血和贫血程度对胃癌术后并发症和预后的影响.结果:3692例患者中,男性2889例(78.3%),女性803例(21.7%).贫血患者14...

关 键 词:胃癌  贫血  预后  并发症

Correlation between pre-operative anemia and postoperative complications and prognosis in gastric cancer patients
ZHANG Wenming,LU Chunlei,LI Kejun,LIU Shushang,FENG Fan,GUO Man,ZHANG Hongwei. Correlation between pre-operative anemia and postoperative complications and prognosis in gastric cancer patients[J]. Journal of Modern Oncology, 2021, 0(7): 1183-1187. DOI: 10.3969/j.issn.1672-4992.2021.07.017
Authors:ZHANG Wenming  LU Chunlei  LI Kejun  LIU Shushang  FENG Fan  GUO Man  ZHANG Hongwei
Affiliation:1.Department of Digestive Surgery,Xijing Hospital,the Air Force Military Medical University,Shaanxi Xi'an 710032,China;2.Department of General Surgery,Linxia People's Hospital,Gansu Linxia 731100,China;3.Center of Digestive Disease,Wuxi Mingci Hospital,Jiangsu Wuxi 214000,China.
Abstract:Objective:To analyze the association between pre-operative anemia and degree of anemia with the postoperative complications and prognosis of gastric cancer.Methods:From October 2008 to November 2016,3692 gastric cancer patients treated with radicalgastrectomy were enrolled in the present study.The association betweenpre-operative anemia and degree of anemia with postoperative complications and prognosis of gastric cancer and survival of patients were analysed.Results:There were 2889 males(78.3%)and 803 females(21.7%).The median age was 58.5 years(range 20~86 years old).The anemia group included 1493 patients(40.4%).Age,gender,tumor location,tumor size,differentiation status,T stage,N stage and TNM stage showed statistically significant differences between the anemia group and the non-anemia group(all P<0.05).The anemia group was associated with increased postoperative fever(P<0.05).Univariate analysis showed that age,tumor size,differentiation status,T stage,N stage,TNM stage and pre-operative anemia were risk factors for the prognosis of patients(all P<0.05).Multivariateanalysis showed that pre-operative anemia was independently associated with poor prognosis of patients(HR=1.141,95%CI:1.018~1.280,P=0.024).Conclusion:Pre-operative anemia was associated with postoperative fever.Pre-operative anemia was associated with poor prognosis of gastric cancer patients.
Keywords:gastric cancer  anemia  prognosis  complications
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