段显琳, 江明. 92例非霍奇金淋巴瘤临床与预后分析[J]. 中国肿瘤临床, 2008, 35(2): 71-74.
引用本文: 段显琳, 江明. 92例非霍奇金淋巴瘤临床与预后分析[J]. 中国肿瘤临床, 2008, 35(2): 71-74.
DUAN Xianlin, JIANG Ming. Analysis of Prognositic Factors of 92 Patients with Non-Hodgkin's Lymphoma DUAN Xianlin, JIANG Ming[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(2): 71-74.
Citation: DUAN Xianlin, JIANG Ming. Analysis of Prognositic Factors of 92 Patients with Non-Hodgkin's Lymphoma DUAN Xianlin, JIANG Ming[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(2): 71-74.

92例非霍奇金淋巴瘤临床与预后分析

Analysis of Prognositic Factors of 92 Patients with Non-Hodgkin's Lymphoma DUAN Xianlin, JIANG Ming

  • 摘要: 目的: 分析非霍奇金淋巴瘤(NHL)的预后相关因素,以及不同治疗方法的预后。 方法: 对本院就治的92例非霍奇金淋巴瘤患者进行回顾性研究。采用Kaplan—Meier法分析患者治疗后的生存期,不同治疗方法患者生存期的差异性;采用Cox比例风险模型分析影响预后的因素。 结果: 全组2、5年无病生存率分别为68%和51%,5年CSS为55%。单因素分析表明,影响NHL的预后因素主要为AnnArbor分期、B组症状、LDH、IPI预后指数和年龄。国际预后指数,低危(0~1分)、中低危(2分)、高中危(3分)和高危(4~5分)5年生存率分别为60%、62%、42%和33%。从不同分期治疗方法分析预后,Ⅰ、Ⅱ期全组病例单纯手术、单纯化疗和综合治疗的5年生存率分别为19%、72%和68%,综合治疗、单纯化疗生存率优于单纯手术组。Ⅲ、Ⅳ期全组病例单纯手术、单纯化疗和综合治疗的5年生存率分别为50%、35%和60%,综合治疗、生存率优于单纯化疗。 结论: 非霍奇金淋巴瘤患者的长期生存与多种因素密切相关,合理检测、调控相关因素可延长患者生存期。不同治疗方法可影响患者的预后,合理评估影响预后的因素,制定合理、有效的治疗可以延长患者的生存。

     

    Abstract: Objective: To analyze the prognostic factors of non-Hodgkin's Lymphoma (NHL) and to evaluate the prognosis of patients with different treatment. Methods: Data from 92 patients with NHL were retrospectively reviewed. Kaplan-Meier was employed to assess the survival rate and Cox regression model was adopted to analyze the prognostic factors. Results: The 2-year and 5-year disease-free survival (DFS) for all patients was 68% and 51%, respectively. The 5-year cancer specific survival (CSS) was 55%. Multivariate analysis by Cox regression showed that Ann Arbor stage, B symptom, LDH, IPI and age were independent prognostic factors. As for IPI, the 5-year CSS was 60% in patients with a score of 0~1, 62% in patients with a score of 2, 42% in patients with a score of 3, and 33% in patients with a score of 4~5. The 5-year survival in patients with stage I~II NHL was 19% in the surgery group, 72% in the chemotherapy group, and 68% in the group with surgery and chemotherapy. The 5-year survival in patients with stage III~IV NHL was 50% in the surgery group, 35% in the chemotherapy group, and 60% in the group with surgery and chemotherapy. Conclusion: The long-term survival of NHL patients is closely related to multiple factors. Surgery combined with chemotherapy can achieve better effects.

     

/

返回文章
返回