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第一部分533例胃癌手術患者臨床預後分析目的：分析胃癌手術患者的預後相關因素。方法：回顧性分析533例胃癌手術患者的臨床病理特點,Kaplan-Meier分析生存率,log-rank檢驗及Cox比例風險回歸分析影響預後的相關因素。結果：患者的中位隨訪時間為38.6個月,中位生存期為25.3個月。1、2、3、5年生存率分別為78.4%、61.4%、53.3%、48.4%。單因素分析顯示年齡、性別、腫瘤部位、病理類型、手術方式、手術類型、腹腔熱灌註化療、浸潤深度、淋巴結轉移、遠處轉移、臨床分期、術後嚴重不良事件、系統化療和腹腔化療是影響胃癌術後患者生存的相關因素。多因素分析顯示浸潤深度、淋巴結轉移、遠處轉移、手術類型、腹腔熱灌註化療、術後嚴重不良事件和系統化療為胃癌手術患者預後的七個獨立相關因素。結論：浸潤深度、淋巴結轉移、遠處轉移是與胃癌預後獨立相關的三個不可幹預因素,手術類型、腹腔熱灌註化療、術後嚴重不良事件和系統化療是與胃癌預後獨立相關的四個可幹預的因素。第二部分胃癌pN及LNR分期對臨床預評估效果比較目的：評估胃癌pN及LNR分期對臨床預評估效果。方法：回顧性分析淋巴結活檢數大於15個的胃癌手術患者,Kaplan-Meier分析生存率,log-rank檢驗,Cox比例風險回歸分析及ROC曲線比較胃癌pN及LNR分期。

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