CAJ | 학술논문

目的：探讨宫颈癌的预后状况及其影响因素。方法选取宫颈癌患者97例，根据患者的临床分期确定治疗方法。自制随访调查表，采用电话随访、上门随访和医院门诊复查的方式分析患者预后状况。采用单因素和多因素分析影响宫颈癌患者预后的相关因素。结果宫颈癌患者3年、5年总体生存率分别为84．5％、80．4％。单因素分析发现，年龄、临床分期、病理类型、淋巴结转移与5年生存率有关（P＜0．05）；多因素分析发现，年龄（OR＝2．552，95％CI＝1．195～5．449）、临床分期（OR＝6．855，95％CI＝2．132～13．047）、病理类型（OR＝4．450，95％CI＝1．479～9．390）、淋巴结转移（ OR＝5．562，95％CI＝1．657～11．677）是宫颈癌患者预后的危险因素。结论宫颈癌患者预后不良，年龄、临床分期、病理类型、淋巴结转移是影响宫颈癌预后的独立危险因素，应权衡患者病情并采取相应措施来提高患者生存率和生活质量。
목적：탐토궁경암적예후상황급기영향인소。방법선취궁경암환자97례，근거환자적림상분기학정치료방법。자제수방조사표，채용전화수방、상문수방화의원문진복사적방식분석환자예후상황。채용단인소화다인소분석영향궁경암환자예후적상관인소。결과궁경암환자3년、5년총체생존솔분별위84．5％、80．4％。단인소분석발현，년령、림상분기、병리류형、림파결전이여5년생존솔유관（P＜0．05）；다인소분석발현，년령（OR＝2．552，95％CI＝1．195～5．449）、림상분기（OR＝6．855，95％CI＝2．132～13．047）、병리류형（OR＝4．450，95％CI＝1．479～9．390）、림파결전이（ OR＝5．562，95％CI＝1．657～11．677）시궁경암환자예후적위험인소。결론궁경암환자예후불량，년령、림상분기、병리류형、림파결전이시영향궁경암예후적독립위험인소，응권형환자병정병채취상응조시래제고환자생존솔화생활질량。
Objective To explore the prognosis of cervical carcinoma and correlated factors .Methods Operation meth-ods were selected by clinical stages in 97 patients with cervical carcinoma .Prognosis was analyzed by finishing follow-up question-naire on telephone ,at patients ’ home and hospital outpatient .The correlative factor was studied by single factor analysis combined with multivariate analysis.Results The 3-year and 5-year overall survival rates of patients with cervical carcinoma were 84.5%and 80.4%.Single factor analysis showed that age ,clinical stage,pathological type and lymphatic metastasis were related with 5-year survival rate (P<0.05);multivariate analysis showed that age (OR=2.552,95%CI=1.195~5.449),clinical stage(OR=6.855,95%CI=2.132~13.047),pathological type(OR=4.450,95%CI=1.479~9.390),and lymphatic metastasis(OR=5.562,95%CI=1.657~11.677) were risk factors affecting prognosis of patients with cervical carcinoma .Conclusion Age, clinical stage,pathological type,and lymphatic metastasis were risk factors affecting prognosis of patients with cervical carcinoma . Patient’ s condition should be measured and appropriate treatment be selected to improve patient ’ s survival and quality of life .