梁寒, 郝希山, 王晓娜, 李景武, 马杰, 王仆, 王家仓, 王殿昌. 723例结肠癌患者术后多因素分析[J]. 中国肿瘤临床, 2004, 31(6): 343-348.
引用本文: 梁寒, 郝希山, 王晓娜, 李景武, 马杰, 王仆, 王家仓, 王殿昌. 723例结肠癌患者术后多因素分析[J]. 中国肿瘤临床, 2004, 31(6): 343-348.
Liang Han, Hao Xi-shan, Wang Xiao-na, . Multivariate Cox Analysis of Prognostic Factors after Surgery in Patients with Colon Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(6): 343-348.
Citation: Liang Han, Hao Xi-shan, Wang Xiao-na, . Multivariate Cox Analysis of Prognostic Factors after Surgery in Patients with Colon Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(6): 343-348.

723例结肠癌患者术后多因素分析

Multivariate Cox Analysis of Prognostic Factors after Surgery in Patients with Colon Carcinoma

  • 摘要: 目的:通过对723例结肠癌患者的临床病理分析,探讨影响结肠癌患者术后生存的因素。方法:对10年间手术治疗的723例结肠癌进行了单因素及多因素COX回归分析。结果:723例结肠癌中,R0(病理根治)术550例,占76.07%;R1(镜下切端阳性)25例,占3.46%;R2(大体阳性)148例,占20.47%。手术死亡率为0.55%。278例患者于术后107个月内死于复发和转移。其中肝转移16例,肺转移7例。平均生存时间为(80.19±1.87)个月。根治术后3、5、10年生存率分别为84.69%、76.07%、67.48%。单因素分析表明术式、肿瘤根治度、围手术期输血、病理类型、肿瘤直径、侵犯深度、淋巴结转移、远处转移、肝转移、肺转移及病理分期均为影响预后的因素,多因素回归分析表明肿瘤根治度、侵犯深度、淋巴结转移、远处转移以及肿瘤的病理分期是影响患者术后生存的独立因素。结论:影响结肠癌患者术后生存的独立因素仅为肿瘤的根治度、侵犯深度、淋巴结转移、远处转移及病理分期。

     

    Abstract: Objective : This study was undertaken to identify prognostic factors through a retrospective analysis of clinicopathologic characteristics of 723 colon cancer patients. Methods : A total of 723 patients with colon cancer, which were treated surgically during a period of 10 years,were studied by univariate and multivariate analysis. Results : R0, R1 and R2 operations were carried out in 550 patients (76.07%), 25 patients (3.46%) and 148 patients (20.47%), respectively. The operation mortality was 0.55% , 278 patients were dead within 108 months postoperatively since recurrence or metastases of the tumor. Liver and lung metastases were occurred in 16 and 7 patients, respectively. The mean survival time for all patients was 80.19±1.87 months and the 3, 5 and 10 year survival rates after radical operations were 84.69%、76.07%、67.48%, respectively. Kaplan-Meier estimates showed that the predictors of survival were type of operations, radical resection, blood transfusion, histological type, diameter of the tumors, depth of tumor invasion, lymphatic invasion, distance metastases, liver, lung metastases and TNM stage. Using multivariate analysis only radical resection, depth of tumor invasion, lymphatic invasion, distance metastases and TNM stage were associated with outcome. Conclusions : Multivariate analysis revealed the follow prognostic factors: radical resection, depth of tumor invasion, lymphatic invasion, distance metastases and TNM stage.

     

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