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目的 :探讨胃癌手术切缘癌残留与病理因素的关系。方法 :通过对286例胃癌手术标本的病理生物学行为的诸因素与癌残留的回顾性调查 ,分析癌残留的影响因素。结果 :胃癌的生长部位、大体类型、分化程度、浸润深度、淋巴结转移的不同与癌周粘膜的浸润范围有关 ,其残留率差异均有显著性(P<0.05)。结论 :胃癌的病理生物学行为是指导手术切除范围的重要基础。术前对其正确估计 ,充分切除癌灶是防止断端癌残留的关键。
Objective: To investigate the relationship between residual gastric cancer and pathological factors in gastric cancer. Methods: The factors influencing the pathological biological behavior of 286 gastric cancer specimens and the retrospective investigation of residual cancer were analyzed to analyze the influencing factors of cancer residual. Results: The location of gastric cancer, general type, differentiation degree, depth of invasion and lymph node metastasis were related to the infiltration of mucosa. The residual rate of gastric cancer was significantly different (P <0.05). Conclusion: The pathological and biological behavior of gastric cancer is an important basis for guiding the scope of surgical resection. Preoperative correct assessment of its full removal of the foci is the key to prevent residual stump cancer.