脉管瘤栓在Ⅱ期结直肠癌中的临床价值研究Clinical study of vascular invasion in stage Ⅱ colorectal cancer
韩慧敏;王鹏;朱冰;梁建伟;
摘要(Abstract):
目的探讨脉管瘤栓在Ⅱ期结直肠癌中的临床意义。方法系统性搜集行手术治疗的Ⅱ期结直肠癌患者临床资料和随访资料,分析患者脉管瘤栓情况与临床特征的关系和其对预后的影响。结果共纳入305例Ⅱ期结直肠癌病例,其中伴有脉管瘤栓者67例(22.0%)。脉管瘤栓情况在年龄、分化程度、pT分期和神经侵犯情况方面比较,差异均具有统计学意义(P<0.05)。多因素分析发现,脉管瘤栓及神经侵犯均为影响Ⅱ期结直肠癌无瘤生存及总生存的独立危险因素(均P<0.05)。结论脉管瘤栓为Ⅱ期结直肠癌预后的独立危险因素。
关键词(KeyWords): 结直肠癌;脉管瘤栓;预后;危险因素
基金项目(Foundation):
作者(Authors): 韩慧敏;王鹏;朱冰;梁建伟;
DOI: 10.13267/j.cnki.syzlzz.2021.009
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