通过医疗档案分析胃肠道间质瘤预后因素

Analysis of prognosis in gastrointestinal stromal tumors

目的分析胃肠道间质瘤预后因素。方法回顾性分析76例胃肠道间质瘤患者的临床病理资料，并建立了随访档案，分析临床病理因素与预后的关系。结果预后因素与危险度分层、核分裂象、肿瘤大小、Ki-67有关（P〈0．05），与患者年龄、性别、部位无关（P〉0．05）。结论危险度分层、核分裂象、肿瘤大小、Ki-67可作为预测胃肠道间质瘤预后的有用指标，中、高危险度组患者应定期复查，健全随访档案，积极治疗。

Objective To study the progression of gastrointcstinal stromal tumors（GISTs） acordingmedical record information resources. Methods The clinicopathology data of 76 patients with GIST were retrospectively reviewed. Results The patients all were at follow-up. The progression correlated with tumor sizes and mitotic cell count, and Ki-67 LI （ P 〈 0. 05 ）, but no significant difference with locations （ P 〉 0. 05 ）. Conclusion Tumor sizes and mitotic cell count, with Ki-67 LI can be used for assessing the risk of patients.