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早期胃癌内镜下分型与浸润深度及淋巴结转移的关系分析

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目的:分析早期胃癌内镜下分型与浸润深度及淋巴结转移的关系。方法:选取 2020 年 3月至2023 年3 月期间在我院就诊的103 例早期胃癌患者为研究对象,收集患者一般临床资料,分析内镜下分型与浸润深度、淋巴结转移的关系。结果:103 例患者中,男性占 63。11%,女性占 36。89%;平均年龄为(52。36±10。73)岁,平均肿瘤最大直径为(2。15±0。89)cm;肿瘤位置,上部、中部、下部分别占 20。39%、50。49%、29。13%;胃癌分化程度,高分化、中分化、低分化分别占 37。86%、43。69%、18。45%;Lauren分型,间质型、腺癌型分别占49。51%、50。49%;TNM 分期,ⅠA 期、ⅠB 期分别占 69。90%、30。10%;根据内镜分型,103 例患者中Ⅰ型15 例(14。56%),Ⅱ型64 例(62。14%),Ⅲ型 24 例(23。30%),不同内镜分型肿瘤浸润深度差异有统计学意义(P<0。05),组间两两比较,Ⅰ型与Ⅱ型、Ⅲ型差异均有统计学意义(P=0。025、0。032),Ⅱ型与Ⅲ型差异有统计学意义(P =0。047);不同内镜分型淋巴结转移的检出率差异有统计学意义(P<0。05),组间两两比较,Ⅰ型低于Ⅱ型、Ⅲ型(P =0。028、0。015),Ⅱ型低于Ⅲ型(P =0。036)。结论:早期胃癌内镜下分型与浸润深度及淋巴结转移密切相关。
Relationship Analysis of Endoscopic Typing of Early Gastric Cancer with Infiltration Depth and Lymphatic Metastasis
Objective:To analyze the relationship between endoscopic typing of early gastric cancer and infiltration depth and lymph node metastasis.Methods:103 patients with early gastric cancer admitted to the hospital from March 2020 to March 2023 were selected as the research subjects.General clinical data of pa-tients were collected and the relationship between endoscopic typing,infiltration depth and lymph node metas-tasis was analyzed.Results:Among the 103 patients,63.11%were males and 36.89%were females.The mean age was(52.36±10.73)years old and the mean maximum tumor diameter was(2.15±0.89)cm.The tumor locations were 20.39%in the upper part,50.49%in the middle part and 29.13%in the lower part.The differentiation degree of gastric cancer showed that there were 37.86%of high differentiation,43.69%of middle differentiation and 18.45% of low differentiation.Lauren typing revealed that interstitial type accoun-ted for 49.51%and adenocarcinoma type accounted for 50.49%respectively.In terms of TNM staging,IA stage and IB stage accounted for 69.90%and 30.10%.According to endoscopic typing,there were 15 cases(14.56%)of type Ⅰ,64 cases(62.14%)of type Ⅱ and 24 cases(23.30%)of type Ⅲ among the 103 pa-tients.The differences in tumor infiltration depth among different endoscopic types were statistically significant(P<0.05).In pairwise comparisons between groups,the differences between Type Ⅰ and both Type Ⅱ and Type Ⅲ were statistically significant(P=0.025 and 0.032,respectively),and the difference between Type Ⅱ and Type Ⅲ was also statistically significant(P=0.047).The differences in lymph node metastasis detec-tion rates among different endoscopic types were statistically significant(P<0.05).In pairwise comparisons,the rate for Type Ⅰ was lower than that for Type Ⅱ and Type Ⅲ(P=0.028 and 0.015,respectively),and the rate for Type Ⅱ was lower than that for Type Ⅲ(P=0.036).Conclusion:Endoscopic typing of early gastric cancer is closely related to infiltration depth and lymph node metastasis.

Early gastric cancerEndoscopic typingInfiltration depthLymphatic metastasisCorrelation analysis

陈卓、张双双、郭仁伟

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江苏省徐州市中心医院消化科, 江苏 徐州 221000

早期胃癌 内镜分型 浸润深度 淋巴结转移 关系分析

江苏省中医药科技计划

MT2022165

2024

河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
年,卷(期):2024.30(4)
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