| Objective: By collecting the clinical data of local recurrence of the esophageal cancer,statistical analysis was carried out to find out the regularity of local recurrence and the risk factors of postoperative recurrence affecting prognosis.Methods: From the fourth hospital of Hebei Medical University during2008-2015 radical surgery in our hospital for esophageal cancer(by preoperative CT,MRI,ultrasound,bone scanning and other related inspection found no distant metastasis),incidence of postoperative local recurrence,metastasis and clinical data of the patients in our hospital department of radiotherapy radiotherapy in patients with a total of 706 cases.The local recurrence included supraclavicular lymph node metastasis,superior mediastinal lymph node metastasis,lymph node metastasis in middle and lower mediastinum,anastomotic recurrence or recurrence of esophageal tumor bed,and abdominal lymph node metastasis.The postoperative diagnosis standard of lymph node recurrence are summarized as follows: 1,after puncture by pathology or cytology in the diagnosis;2,diagnostic imaging in generally visible lymph nodes than 10 mm short diameter is considered to be a regional lymph node recurrence.Anastomotic recurrence diagnostic criteria: esophageal microscopically and new biological bite examination of pathology or CT and PET-CT showed irregular soft tissue mass and abnormal metabolism.Using spss21.0 software for statistical analysis,the survival time was from operation time to time of death or last follow-up time,count data using(analysis of 2 test,using the method of Kaplan-Meier,the survival of the Log-rank test,multivariate analysis using Cox model,P<0.05 had a statistically significant difference.Results: Male 535 cases,female 171 cases;the elderly(>=60 years old)in 309 cases,middle aged(<60 years old)in 397 cases,the median age was58 years;no underlying diseases in 445 patients with underlying diseases in261 patients;no previous history of smoking in 335 cases,smoking the history of the 371 cases;507 cases of patients with no history of drinking,drinking history for 199 cases of patients with family history of cancer patients;77 cases had no family history of cancer in 629 patients;preoperative weight change: no change in 653 cases,mild reduction in 28 cases,25 cases of severe loss of food intake;surgery before:Mentioned 2cases,442 cases of normal diet,semi liquid diet in 219 cases,42 cases of food,can not eat in 1 cases;78 cases of upper thoracic esophageal carcinoma,488 cases of esophageal carcinoma,140 cases of thoracic esophageal carcinoma;tumor size(=<4cm)in 328 cases,the largest diameter(>4cm)of 378 cases of the left;thoracic esophageal carcinoma resection in 629 cases,abdominal +right thoracic esophageal cancer resection in 77 cases;93 cases of patients with no sticky even during the surgery,356 cases of patients with mild adhesions,257 cases of patients with severe adhesions;695 Cases of radical surgery,11 cases of palliative surgery patients;80 cases of stage T1,157 cases of stage T2,428 cases of T3 patients,41 cases of T4 patients;353 cases of N0 patients,216 cases of N1 patients,105 cases of N2 patients,32 cases of N3patients;The pathological stage of stage I was in 64 patients,stage II in 343 cases,stage III in 288 cases and stage IV in 11 cases;the total number of lymph nodes was 7502,and the average lymph node dissection was about10.6,1 groups(the number of lymph nodes were >=8)472 cases,group 2(the number of lymph nodes... |
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