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目的探讨青年人直肠癌术后影响预后的因素。方法①收集医专第一附属医院2001—2009年收治的98例行根治性手术治疗的40岁以下直肠癌患者的临床资料。②回顾性分析生活习惯、居住地区、性别、职业、家庭状况、淋巴结转移状况、肿瘤T分期、组织学类型对术后预后的影响。结果单因素分析显示生活习惯、职业、淋巴结转移状况、肿瘤T分期、组织学类型为影响预后的主要因素,而多因素分析显示淋巴结转移状况、肿瘤T分期是影响预后最重要的独立因素。结论对于青年人行根治性手术治疗的直肠癌患者,肿瘤T分期、淋巴结转移状况为影响预后最重要的因素。
Objective To investigate the prognostic factors of postoperative rectal cancer in young people. Methods ① The clinical data of 98 patients with rectal cancer under 40 years who underwent radical surgery in the First Affiliated Hospital of Medical College from 2001 to 2009 were collected. ② Retrospective analysis of living habits, living area, gender, occupation, family status, lymph node metastasis, tumor T stage, histological type of postoperative prognosis. Results Univariate analysis showed that lifestyle, occupation, lymph node metastasis, tumor T stage and histological type were the main factors affecting prognosis. Multivariate analysis showed that lymph node metastasis and tumor T stage were the most important independent factors affecting prognosis. Conclusion For patients with rectal cancer who underwent radical surgery, the T stage and the status of lymph node metastasis are the most important factors affecting prognosis.