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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twenty five.3個月。one、2、three、5年生存率分別為78.four%、sixty one.four%、fifty three.three%、48.four%。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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長期腹痛要小心，親人前幾年得了闌尾炎，以為不是大病，就選擇吃藥輸液的保守治療，沒想到去年體檢時發現腫瘤標記物異常，去醫院一番排查，最後竟然發現是腹膜癌！ 小小的闌尾炎就發展成為了令人膽寒的癌癥？這到底是怎麽回事？闌尾炎是什麽？ 闌尾炎，簡單說就是闌尾這個部位發炎了。闌尾是人體腸道的一部分，這個細長彎曲的管道，一端和盲腸相通。闌尾發炎常常是梗阻和感染引起的，比如因為腸道的蠕動，糞石不小心進入了闌尾的空腔，闌尾腔狹窄或梗阻，就會導致炎癥反應。另一種情況是闌尾粘膜存在感染，給了細菌可趁之機，直接感染，導致炎症。無論哪種原因導致的闌尾炎，患者的典型症狀都是右下腹疼痛。

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