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目的探讨多因素与食管癌术前淋巴结转移性的关系。材料和方法采用回顾性分析的方法,对166例经手术病理证实的食管癌淋巴结转移的相关因素进行logistic单因素分析和多因素回归分析。结果单因素分析显示,姓别、年龄对淋巴结的转移性无影响,单因素和多因素分析显示,淋巴结的大小、形态、是否聚集、食管癌T分期、淋巴结与肿瘤的相对位置是淋巴结转移的危险因素。结论食管癌术前CT诊断淋巴结转移性,要结合淋巴结形态、大小、聚集、T分期及淋巴结与肿瘤的相对位置多因素考虑。
Objective To explore the relationship between multi-factors and preoperative lymph node metastasis of esophageal cancer. Materials and Methods A retrospective analysis of 166 cases of pathologically confirmed lymph node metastasis of esophageal cancer related factors by logistic univariate and multivariate regression analysis. Results Univariate analysis showed that the surname and age had no effect on the metastasis of lymph nodes. Univariate and multivariate analysis showed that the size, shape, aggregation of esophageal cancer, the stage of esophageal cancer T, the relative position of lymph node and tumor were lymph node metastasis Risk factors. Conclusion The diagnosis of lymph node metastasis of esophageal cancer preoperative CT should be combined with the lymph node morphology, size, aggregation, T stage and lymph node and tumor relative position of multiple factors.