摘要
目的:探讨食管癌围手术期大量输血对预后的影响。方法:对98例围手术期输血≥800ml(A组)和142例围手术期输血≤200ml(B组)的食管癌患者的病理特征、术后并发症、肿瘤复发率及近远期生存率进行比较。结果:两组性别、年龄及半年、1年生存率无统计学意义(P>0.05),A组较B组肿瘤浸润深(T4)、TNM分期(Ⅳ期)晚(P<0.05),两组术后并发症发生率、肿瘤复发率及3年生存率差异有显著性(P<0.05),A组5年的生存率明显高于B组,有显著性差异(P<0.01)。结论:围手术期大量输血的食管癌患者肿瘤浸润深、TNM分期晚,术后并发症多,肿瘤复发率高,预后差。
Objictive:To study the prognosis in esophageal cancer patients exposed to transfer blood in preoperative course. Methods: Comparing the 98 preoperative patients who had transfused (≥800ml group A) and the 142 preoperative patients who had transfused (≤200ml, group B) with pathological characteristics, complication after operation, survival rate of long-term and short-term (tumor recurring rate). Results: There was no statistical significance (P>0.05) in sexual distinction age, 1 and 0.5 year survival rate of both groups. Group A get deeper infiltration (T4), later TNM stage than group B (P<0.05). There was obvious difference of the rate of complication after operation, tumor recurring rate, 3-year survival rate (P<0.05) in both groups. 5-year survival rate of group A was longer than of group B (P<0.01). Conclusions: Much transfusion of esophageal cancer in preoperative course had deeper infiltration later TNM stage, much complication after operation, the higher rate of recurring, and the worse prognosis.
出处
《中国民康医学》
2005年第7期354-355,共2页
Medical Journal of Chinese People’s Health
关键词
食管癌
输血
预后
esophageal
cancer
transfusion
prognosis
