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目的:分析食管癌根治性切除术后影响患者预后的相关危险因素。方法:选取2010年10月至2015年10月我院行食管癌切除术的300例患者作为研究对象,对所有研究对象的相关资料进行回顾性分析,探讨所有患者的临床特征及术后疗效状况,并采用Logistic回归方式对影响食管癌切除术预后的相关危险因素进行分析。结果:本次所有研究对象中,单因素分析结果显示,患者的体重、年龄及性别并不影响患者术后的五年生存率(P>0.05);而影响食管癌切除术预后的单因素有淋巴结转移量及淋巴结转移区域数量(P<0.05);Logistic回归分析结果显示,影响食管癌切除术预后的危险因素为癌分化程度、肿瘤长度、肿瘤侵润程度、淋巴结是否转移及术后是否感染(P<0.05)。结论:影响食管癌切除术患者预后的主要危险因素为癌分化程度、肿瘤长度、肿瘤侵润程度、淋巴结是否转移及术后是否感染,临床中应当采取针对性早期干预,才能进一步提升食管癌患者的生活质量。
Objective: To analyze the risk factors that affect the prognosis of patients with esophageal cancer after radical resection. METHODS: A total of 300 patients undergoing esophageal cancer resection in our hospital from October 2010 to October 2015 were selected as the study subjects. The data of all subjects were analyzed retrospectively to discuss the clinical features and postoperative efficacy of all patients. , Logistic regression was used to analyze the risk factors affecting the prognosis of esophageal cancer resection. Results: In this study, univariate analysis showed that the patient’s weight, age, and gender did not affect the postoperative five-year survival rate (P>0.05); the single factor that affects the prognosis of esophageal cancer resection was The amount of lymph node metastasis and lymph node metastasis area (P<0.05); Logistic regression analysis showed that the risk factors affecting the prognosis of esophageal resection were cancer differentiation, tumor length, tumor invasion, lymph node metastasis, and postoperative infection. (P<0.05). Conclusion: The main risk factors affecting the prognosis of patients undergoing esophageal cancer resection are cancer differentiation, tumor length, degree of tumor invasion, lymph node metastasis, and postoperative infection. Specific early intervention should be taken in order to further improve esophageal cancer patients. The quality of life.