贲门癌术后存活10年以上病例分析

目的探讨影响贲门癌切除术后长期生活的因素。方法对584例贲门癌切除术后生存10年以上的病例进行回顾性分析。结果本组10年生存率为17．1％。肿瘤的病理分期、分化程度、大体类型、瘤体大小对10年生存率的影响均有统计学意义（P〈0．05）。有无淋巴结转移对10年生存率的影响有统计学意义（P〈0．01）。伴有切端癌残留、癌栓形成、肿瘤浸润浆膜、手术切除性质，以及性别、年龄、病程等对10年生存率影响无统计学意义（P〉0．05）。结论贲门癌的早期发现、早期诊断、早期切除治疗仍是提高其10年生存率的关键。切端癌残留、癌栓形成、手术切除性质等因素对10年生存率的影响尚待进一步探讨。

Analysis of Patients Survived over Ten Years after Resection of Gastric Cardia Carcinoma

Objective To investigate factors affecting long-term survival in patients with resected gastric Cardia cancer. Methods Survival was analyzed retrospectively in 584 patients with gastric cardia carcinoma who received tumor resection from 1964 to 1982. Results The 10-year survival rate was 17.1%. The major factors influencing survival were clinical staging, degree of differentiation, gross tumor type and size （P 〈 0.05 ）and status of lymph node metastasis （P 〈 0.01 ）. Residual tumor at resection edge and tumor thrombi did not significantly affect survival, nor did sex, age, and course of the disease. Conclusion Early detection,early diagnosis and early surgical resection were the key to improve 10-year survival of patients with resected cancer of the gastric cardia.